Individual
CRISTINA LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1601 NW 12TH AVE, #5066, MIAMI, FL 33136-1005
(305) 243-6631
(305) 243-5978
Mailing address
1601 NW 12TH AVE, #5066, MIAMI, FL 33136-1005
(305) 243-6631
(305) 243-5978
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA14026
FL
235Z00000X
Speech-Language Pathologist
SZ6891
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013405400
—
FL
Enumeration date
07/21/2014
Last updated
12/22/2015
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