Individual
POULETTE MARI BERBERENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA; SLPA
Contact information
Practice address
5728 MAJOR BLVD, ORLANDO, FL 32819-7945
(407) 280-3776
Mailing address
15240 MONTESINO DR, ORLANDO, FL 32828-6732
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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