Provider Demographics
NPI:1447409784
Name:RIVERA, ALBA C
Entity Type:Individual
Prefix:
First Name:ALBA
Middle Name:C
Last Name:RIVERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 SALEM TOWNE CT
Mailing Address - Street 2:BILINGUAL THERAPEUTIC RESOURCES INC
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502
Mailing Address - Country:US
Mailing Address - Phone:919-367-9830
Mailing Address - Fax:919-367-9831
Practice Address - Street 1:128 SALEM TOWNE CT
Practice Address - Street 2:BILINGUAL THERAPEUTIC RESOURCES INC
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502
Practice Address - Country:US
Practice Address - Phone:919-367-9830
Practice Address - Fax:919-367-9831
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-11
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1452235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist