Healthcare Provider Details

I. General information

NPI: 1639888936
Provider Name (Legal Business Name): ARLENE JOSEPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2022
Last Update Date: 11/16/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 ASH DR
HOLLYWOOD FL
33026-1102
US

IV. Provider business mailing address

244 NW 102ND ST
MIAMI FL
33150-1449
US

V. Phone/Fax

Practice location:
  • Phone: 954-869-7202
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI3307
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: