Provider Demographics
NPI:1265211346
Name:JUVERT, ANGIELEEN (MS SLP)
Entity type:Individual
Prefix:MS
First Name:ANGIELEEN
Middle Name:
Last Name:JUVERT
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19375 SW 185TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-1965
Mailing Address - Country:US
Mailing Address - Phone:786-253-0739
Mailing Address - Fax:
Practice Address - Street 1:8905 NW 120TH TER
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-4166
Practice Address - Country:US
Practice Address - Phone:786-571-8344
Practice Address - Fax:305-402-7830
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11736235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist