MEDICARE: LAUREN MARIE VALDES SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SZ12340	FL

General Provider Information

NPI Number	:	1174342349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN MARIE VALDES SLP

Provider Business Mailing Address
First Line	:	7425 SW 61ST ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-1746
Country	:	US
Telephone Number	:	305-608-1235
Fax Number	:

Provider Business Practice Location Address
First Line	:	5701 SUNSET DR STE 282
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5369
Country	:	US
Telephone Number	:	305-763-8132
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2024
Last Update Date	:	10/05/2024

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Directions to “ LAUREN MARIE VALDES SLP” Practice Location

Language	Start Address	Practice Location

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