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NPI Code Detail

MEDICARE: SOPHIA M ARIAS MS CCC SLP

MEDICARE:   SOPHIA M ARIAS  MS CCC 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
1235Z00000XSpeech-Language PathologistSLP.0006050CO
2235Z00000XSpeech-Language Pathologist37750CA
3235Z00000XSpeech-Language PathologistSA21631FL
4235Z00000XSpeech-Language Pathologist122923TX
5106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
137750OTHERCACALIFORNIA SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY AND HEARING AID DISPENSERS BO
2SA21631OTHERFLFLORIDA DEPARTMENT OF HEALTH
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4SLP.0006050OTHERCOCOLORADO DIVISION OF PROFESSIONS AND OCCUPATIONS
5122923OTHERTXTEXAS DEPARTMENT OF LICENSING AND REGULATION

General Provider Information

NPI Number : 1164920633
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA M ARIAS MS CCC SLP
Provider Business Mailing Address
First Line : 12209 FAWN BRINDLE ST
Second Line :
City : RIVERVIEW
State : FL
Zip : 33578-3413
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9400 N CENTRAL EXPY STE 306
Second Line :
City : DALLAS
State : TX
Zip : 75231-5039
Country : US
Telephone Number : 972-581-4793
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2018
Last Update Date : 02/25/2026

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Directions to “ SOPHIA M ARIAS MS CCC SLP” Practice Location

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