Provider Demographics
NPI:1861980450
Name:MICUNEK, RUHI AHLUWALIA
Entity type:Individual
Prefix:MRS
First Name:RUHI
Middle Name:AHLUWALIA
Last Name:MICUNEK
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 1:1518 ALMOND AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6708
Mailing Address - Country:US
Mailing Address - Phone:810-610-8189
Mailing Address - Fax:
Practice Address - Street 1:1571 AURORA RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-5448
Practice Address - Country:US
Practice Address - Phone:810-610-8189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-29
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101005670235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist