Provider Demographics
NPI:1487204830
Name:RICHARDS, CRISTINA (BS , SLP-A)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:BS , SLP-A
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:
Other - Last Name:CHEBERKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS SLP-A
Mailing Address - Street 1:9750 NW 33RD STREET
Mailing Address - Street 2:SUITE 209
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4081
Mailing Address - Country:US
Mailing Address - Phone:305-321-4343
Mailing Address - Fax:954-827-0308
Practice Address - Street 1:9750 NW 33RD STREET
Practice Address - Street 2:SUITE 209
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4081
Practice Address - Country:US
Practice Address - Phone:305-321-4343
Practice Address - Fax:954-827-0308
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-18
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI31602355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant