Individual
DR. ALBERT VILLANUEVA-REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD, MSC, CCC-SLP
Contact information
Practice address
2674 SIMPSON RD, KISSIMMEE, FL 34744-4674
(407) 408-2300
(866) 697-7393
Mailing address
2674 SIMPSON ROAD, KISSIMMEE, FL 34744-0001
(787) 461-3700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15857
FL
235Z00000X
Speech-Language Pathologist
Primary
473
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
473
PROFESSIONAL LICENSE
PR
Enumeration date
06/17/2009
Last updated
12/05/2017
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