Provider Demographics
NPI:1457704488
Name:DE CARVALHO MENDES, ISABEL (PHD)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:DE CARVALHO MENDES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1541 BRICKELL AVE
Mailing Address - Street 2:AP 509
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-1213
Mailing Address - Country:US
Mailing Address - Phone:786-527-1975
Mailing Address - Fax:
Practice Address - Street 1:10743 SW 104TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-8163
Practice Address - Country:US
Practice Address - Phone:305-224-7883
Practice Address - Fax:305-274-4271
Is Sole Proprietor?:No
Enumeration Date:2016-07-14
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ7601235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist