Provider Demographics
NPI:1457969578
Name:QUERINO MATHIAS, HYEDA REGINA (MS-SLP)
Entity type:Individual
Prefix:
First Name:HYEDA
Middle Name:REGINA
Last Name:QUERINO MATHIAS
Suffix:
Gender:
Credentials:MS-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6567 HELMSLEY CIR
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-5907
Mailing Address - Country:US
Mailing Address - Phone:407-202-8422
Mailing Address - Fax:
Practice Address - Street 1:6567 HELMSLEY CIR
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-5907
Practice Address - Country:US
Practice Address - Phone:407-202-8422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-14
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI43372355S0801X
FLSZ9945235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant