Provider Demographics
NPI:1871074708
Name:LOPEZ FERRO, DENISSE ARMELINA (SLPA)
Entity type:Individual
Prefix:
First Name:DENISSE
Middle Name:ARMELINA
Last Name:LOPEZ FERRO
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 NE 29TH ST APT 1002
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4633
Mailing Address - Country:US
Mailing Address - Phone:305-853-6423
Mailing Address - Fax:
Practice Address - Street 1:1800 SW 1ST AVE
Practice Address - Street 2:SUITE 502
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129-1181
Practice Address - Country:US
Practice Address - Phone:305-632-3359
Practice Address - Fax:888-368-4883
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI2990235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSI2990OtherSTATE LICENSE