Provider Demographics
NPI:1275842023
Name:LADENHEIM, MARIA F (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:F
Last Name:LADENHEIM
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 CORAL WAY APT 1404
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3240
Mailing Address - Country:US
Mailing Address - Phone:518-728-6321
Mailing Address - Fax:
Practice Address - Street 1:1550 S DIXIE HWY
Practice Address - Street 2:SUITE 214
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3078
Practice Address - Country:US
Practice Address - Phone:518-728-6321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 10633235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist