Provider Demographics
NPI:1972781417
Name:NORENA, ADRIANA D (MS-CCC SLP)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:D
Last Name:NORENA
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 1:6507 WINFIELD BLVD
Mailing Address - Street 2:APT 204
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-7171
Mailing Address - Country:US
Mailing Address - Phone:954-829-0136
Mailing Address - Fax:
Practice Address - Street 1:5651 NW 29TH ST
Practice Address - Street 2:A
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-1531
Practice Address - Country:US
Practice Address - Phone:954-829-0136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA9553235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist