Healthcare Provider Details

I. General information

NPI: 1164920633
Provider Name (Legal Business Name): SOPHIA M ARIAS MS CCC SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2018
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7615 DEVONBRIDGE GARDEN WAY
APOLLO BEACH FL
33572-1516
US

IV. Provider business mailing address

7615 DEVONBRIDGE GARDEN WAY
APOLLO BEACH FL
33572-1516
US

V. Phone/Fax

Practice location:
  • Phone: 813-928-5113
  • Fax:
Mailing address:
  • Phone: 813-928-5113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2203001055
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP.0006050
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3586
License Number StateNH
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number122923
License Number StateTX
# 5
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA21631
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number37750
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL018888
License Number StatePA
# 8
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSAH-2025-0405
License Number StateNM
# 9
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP.LL.70150437
License Number StateWA
# 10
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number10280774
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: