Provider Demographics
NPI:1790116754
Name:TORRES, LEIDIN (SLP)
Entity Type:Individual
Prefix:
First Name:LEIDIN
Middle Name:
Last Name:TORRES
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 1:15271 NW 60TH AVE, MIAMI LAKES
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014
Mailing Address - Country:US
Mailing Address - Phone:305-456-6700
Mailing Address - Fax:786-870-5196
Practice Address - Street 1:15271 NW 60TH AVE, MIAMI LAKES
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014
Practice Address - Country:US
Practice Address - Phone:305-456-6700
Practice Address - Fax:786-870-5196
Is Sole Proprietor?:No
Enumeration Date:2013-12-02
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ9442235Z00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist