Provider Demographics
NPI:1972817989
Name:FERRER, ALEIDA
Entity Type:Individual
Prefix:
First Name:ALEIDA
Middle Name:
Last Name:FERRER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALEIDA
Other - Middle Name:
Other - Last Name:FERRER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5534 CINDERLANE PKWY APT B
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-4706
Mailing Address - Country:US
Mailing Address - Phone:336-432-3985
Mailing Address - Fax:
Practice Address - Street 1:5530 CINDERLANE PKWY APT B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-4733
Practice Address - Country:US
Practice Address - Phone:336-432-3985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-02
Last Update Date:2015-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 9575235Z00000X
TX106062235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist