MEDICARE: MS. SVETLANA SIBER MA

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
1	235Z00000X	Speech-Language Pathologist	41YS00385300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SA11043	OTHER	FL	SPEECH LANGUAGE PATHOLOGIST LICENSE

General Provider Information

NPI Number	:	1376712398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SVETLANA SIBER MA

Provider Business Mailing Address
First Line	:	14201 W SUNRISE BLVD
Second Line	:	SUITE 204
City	:	SUNRISE
State	:	FL
Zip	:	33323-3207
Country	:	US
Telephone Number	:	954-756-2818
Fax Number	:	954-514-1126

Provider Business Practice Location Address
First Line	:	4100 GALT OCEAN DR APT 405
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-6022
Country	:	US
Telephone Number	:	954-547-7531
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2008
Last Update Date	:	01/20/2026

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Directions to “ MS. SVETLANA SIBER MA” Practice Location

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