Provider Demographics
NPI:1265215412
Name:CALVINO, BARBARA GALLINAL
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:GALLINAL
Last Name:CALVINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9415 SW 72ND ST STE 131
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-5492
Mailing Address - Country:US
Mailing Address - Phone:786-953-8389
Mailing Address - Fax:786-953-8483
Practice Address - Street 1:9415 SW 72ND ST STE 131
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5492
Practice Address - Country:US
Practice Address - Phone:786-953-8389
Practice Address - Fax:786-953-8483
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11445235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist