Provider Demographics
NPI:1548595002
Name:CONTRERAS, ANDREA MARIA (SLP)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:MARIA
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10601 NW 22ND ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-2311
Mailing Address - Country:US
Mailing Address - Phone:954-704-1604
Mailing Address - Fax:305-364-0468
Practice Address - Street 1:7750 W 26TH AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5698
Practice Address - Country:US
Practice Address - Phone:305-231-1276
Practice Address - Fax:305-364-0468
Is Sole Proprietor?:No
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10064235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist