Provider Demographics
NPI:1184772873
Name:HALBERSTEIN, ALICIA INES (MASTER IN SCIENCE)
Entity type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:INES
Last Name:HALBERSTEIN
Suffix:
Gender:F
Credentials:MASTER IN SCIENCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2000 ATLANTIC SHORES BLVD
Mailing Address - Street 2:#502
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2889
Mailing Address - Country:US
Mailing Address - Phone:954-454-5904
Mailing Address - Fax:
Practice Address - Street 1:8181 NW 154TH ST STE 115
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-5861
Practice Address - Country:US
Practice Address - Phone:786-447-5783
Practice Address - Fax:305-512-8805
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA13982235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSA13982OtherDEPT. OF HEALTH STATE OF FL.