Provider Demographics
NPI:1720593023
Name:VALENTINI BARRABINO, ANA LUCIA
Entity Type:Individual
Prefix:
First Name:ANA LUCIA
Middle Name:
Last Name:VALENTINI BARRABINO
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 1:10 SW SOUTH RIVER DR APT 1912
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1483
Mailing Address - Country:US
Mailing Address - Phone:305-934-1317
Mailing Address - Fax:
Practice Address - Street 1:10 SW SOUTH RIVER DRIVE APT 1912
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130
Practice Address - Country:US
Practice Address - Phone:305-934-1317
Practice Address - Fax:305-934-1317
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-08
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ8422235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV453012916810OtherDRIVERS LICENSE