Provider Demographics
NPI:1447496401
Name:BIBER, TERESA PLANEY (CCC-SLP)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:PLANEY
Last Name:BIBER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3419 SE 8TH ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-6304
Mailing Address - Country:US
Mailing Address - Phone:954-675-6409
Mailing Address - Fax:954-776-8636
Practice Address - Street 1:6401 N FEDERAL HWY
Practice Address - Street 2:REHABILITATION SERVICES
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-1427
Practice Address - Country:US
Practice Address - Phone:954-776-8830
Practice Address - Fax:954-776-8636
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 4985235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist