Provider Demographics
NPI:1376942367
Name:CREMISINI, ELENA (MS, CF, SLP)
Entity Type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:CREMISINI
Suffix:
Gender:F
Credentials:MS, CF, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 EAGLE RUN CIR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-1529
Mailing Address - Country:US
Mailing Address - Phone:954-684-4952
Mailing Address - Fax:
Practice Address - Street 1:2530 EAGLE RUN CIR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33327-1529
Practice Address - Country:US
Practice Address - Phone:954-684-4952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist