Provider Demographics
NPI:1619791555
Name:BARE, CLAUDIA YASMEEN
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:YASMEEN
Last Name:BARE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 SE 2ND AVE APT 717
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-1068
Mailing Address - Country:US
Mailing Address - Phone:980-330-2800
Mailing Address - Fax:
Practice Address - Street 1:3141 SW 118TH TER
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33330-1600
Practice Address - Country:US
Practice Address - Phone:754-779-7888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ12000235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist