Provider Demographics
NPI:1871914176
Name:VALENCIA, GLORIA (AUD, CCC-A)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:
Last Name:VALENCIA
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:GLORIA
Other - Middle Name:EYICEL
Other - Last Name:DIAZ BARCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1330 BUDINGER AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-4123
Mailing Address - Country:US
Mailing Address - Phone:407-992-9229
Mailing Address - Fax:407-891-2911
Practice Address - Street 1:1330 BUDINGER AVE STE 206
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-4123
Practice Address - Country:US
Practice Address - Phone:407-992-9229
Practice Address - Fax:407-891-2911
Is Sole Proprietor?:No
Enumeration Date:2014-01-04
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA-01441231H00000X, 231HA2400X, 237600000X
FLAY2681231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter