Provider Demographics
NPI:1609256114
Name:SENIOR, GABRIELA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:SENIOR
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:GABRIELA
Other - Middle Name:
Other - Last Name:SENIOR-ROGES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:8590 SW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3214
Mailing Address - Country:US
Mailing Address - Phone:305-266-5353
Mailing Address - Fax:305-266-6550
Practice Address - Street 1:8590 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3214
Practice Address - Country:US
Practice Address - Phone:305-266-5353
Practice Address - Fax:305-266-6550
Is Sole Proprietor?:No
Enumeration Date:2015-06-01
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20169235Z00000X
FLSZ9127235Z00000X
225500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist