Beverly Stephanie Herbozo, M.S. CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Bay Harbor Islands, FL

NPI 1306974142 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1306974142
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SA7596 (FL)
Practice address
1075 93Rd St
Unit 306
Bay Harbor Islands, FL 33154-2389
Phone
(786) 859-6146
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA7596FLMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA7596 FL Yes

Addresses

Primary practice location

1075 93Rd St
Unit 306
Bay Harbor Islands, FL 33154-2389

Mailing address

1075 93Rd St
Unit 306
Bay Harbor Islands, FL 33154-2389
Phone (786) 859-6146

Other providers in Bay Harbor Islands, FL

All providers in Bay Harbor Islands, FL · Speech-Language Pathologist in Florida

Sources for this page

Verify at the official NPI Registry.