Provider Demographics
NPI:1023241387
Name:BARREIRO-BLANCO, CELIA (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CELIA
Middle Name:
Last Name:BARREIRO-BLANCO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-6713
Mailing Address - Country:US
Mailing Address - Phone:954-236-2356
Mailing Address - Fax:
Practice Address - Street 1:3240 MAPLE LN
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-6713
Practice Address - Country:US
Practice Address - Phone:954-236-2356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 3902235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist