Provider Demographics
NPI:1073900692
Name:LAROCCA SPEECH THERAPY, INC.
Entity Type:Organization
Organization Name:LAROCCA SPEECH THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AURORA
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAROCCA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:305-281-0591
Mailing Address - Street 1:9230 SW 78TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7513
Mailing Address - Country:US
Mailing Address - Phone:305-281-0591
Mailing Address - Fax:305-630-9901
Practice Address - Street 1:9230 SW 78TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7513
Practice Address - Country:US
Practice Address - Phone:305-281-0591
Practice Address - Fax:305-630-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty