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General NPI Number Information
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NPI Number | 1881264216
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Entity Type | Individual
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Provider Name | MARIA YOLANDA CUCITI SLP
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Gender | Female
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 12545 ORANGE DR STE 502
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City | DAVIE
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State | FL
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Zip | 33330-4306
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Country | US
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Telephone | 954-474-8048
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Fax |
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Provider Business Mailing Address
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Address Line | 701 SW 158TH TER
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City | SUNRISE
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State | FL
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Zip | 33326-2112
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Country | US
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Telephone | 917-685-8012
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 3112
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ10137
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License Number State | FL
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