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1902651367 NPI number — GABRIELLA JENNIFER VAYSMAN CF-SLP

NPI Number: 1902651367
Health Care Provider/Practitioner: GABRIELLA JENNIFER VAYSMAN CF-SLP

Information about “1902651367” NPI (GABRIELLA JENNIFER VAYSMAN CF-SLP) exists in 1902651367 in HTML format HTML  |  1902651367 in plain Text format TXT  |  1902651367 in PDF (Portable Document Format) PDF  |  1902651367 in an XML format XML  formats.

NPI Number : 1902651367 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902651367",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VAYSMAN",
    "FirstName": "GABRIELLA",
    "MiddleName": "JENNIFER",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CF-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VAYSMAN",
    "OtherFirstName": "GABRIELLA",
    "OtherMiddleName": "JENNIDER",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CF-SLP",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "3101 S OCEAN DR APT 2108",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOLLYWOOD",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33019-2836",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-881-1426",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12545 ORANGE DR STE 502",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DAVIE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33330-4306",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-474-8145",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/19/2024",
    "LastUpdateDate": "12/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "11885",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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