Tibaldeo, Sandra

Tibaldeo, Sandra is an individual health care provider with primary practice located at 8481 Sw 167Th Ter , Palmetto Bay FL 33157-0401. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Tibaldeo, Sandra can be contacted via phone (786) 271-8964.

Contact Information

Primary practice address
8481 Sw 167Th Ter Palmetto Bay FL 33157-0401
Fax: (800) 826-9197
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA6310 Florida

Profile Details

NPI number 1134178924
LBN Legal business name Tibaldeo, Sandra
Credentials MS CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Sep 7th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134178924 NPPES
Florida MEDICAID 886458600

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