Jodi Tice De La Torre Valid NPI
Individual provider · Speech-Language Pathologist · Miami Lakes, FL
- NPI
- 1003115809
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- SA669 (FL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-03-18
- Last updated
- 2011-03-18
Practice location
5979 Nw 151st St, Suite 108
Miami Lakes, FL 33014-2400
(305) 362-3300