Shining Stars Speech and Language Therapy Corp.

NPI #1255775862 in Miami, Florida

Provider Information

NPI Number
1255775862
Entity Type
Organization
Organization Name
Shining Stars Speech and Language Therapy Corp.
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Apr 25, 2013
Last Updated
Apr 25, 2013

Practice Location

Address
9601 SW 142ND AVE
Address 2
611
City
Miami
State
Florida
ZIP Code
33186-7327
Phone
(305) 801-9365

Authorized Official

Name
MS. LISSETTE MERCEDES HERNANDEZ, M.S., CCC-SLP
Title
SPEECH LANGUAGE PATHOLOGIST
Phone
(305) 801-9365

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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