Provider Demographics
NPI:1942332531
Name:D'URSO-ANGELES, ARIANNA MARIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ARIANNA
Middle Name:MARIE
Last Name:D'URSO-ANGELES
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1853 CORAL HEIGHTS LN
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33308-5224
Mailing Address - Country:US
Mailing Address - Phone:954-568-4263
Mailing Address - Fax:
Practice Address - Street 1:1853 CORAL HEIGHTS LN
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33308-5224
Practice Address - Country:US
Practice Address - Phone:954-568-4263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA8757235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist