Provider Demographics
NPI:1770283467
Name:BARBIERI, MELISSA LAURA
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:LAURA
Last Name:BARBIERI
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 1:16378 SW 93RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-1052
Mailing Address - Country:US
Mailing Address - Phone:305-282-8085
Mailing Address - Fax:
Practice Address - Street 1:5600 SW 135TH AVE STE 112B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-5125
Practice Address - Country:US
Practice Address - Phone:305-746-4507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA20651235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist