Provider Demographics
NPI:1881827939
Name:ANDRADE, BEATRIS (SLPA)
Entity Type:Individual
Prefix:
First Name:BEATRIS
Middle Name:
Last Name:ANDRADE
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14613 SW 95TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1041
Mailing Address - Country:US
Mailing Address - Phone:305-649-7050
Mailing Address - Fax:305-649-3765
Practice Address - Street 1:8080 W FLAGLER ST
Practice Address - Street 2:SUITE 3-C
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2100
Practice Address - Country:US
Practice Address - Phone:305-649-7050
Practice Address - Fax:305-649-3765
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI 15732355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant