Provider Demographics
NPI:1073972261
Name:PARLARE THERAPEUTIC
Entity Type:Organization
Organization Name:PARLARE THERAPEUTIC
Other - Org Name:PARLARE EDUCATIVE AND THERAPEUTIC CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:DELIA
Authorized Official - Last Name:VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:787-378-3200
Mailing Address - Street 1:1 B CALLE GLAVEOLA
Mailing Address - Street 2:CIUDAD JARDIN DE CAROLINA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987
Mailing Address - Country:US
Mailing Address - Phone:787-378-3200
Mailing Address - Fax:
Practice Address - Street 1:3K-S5 AVE FRAGOSO #3 CALLE 5 VIA MIRTA VIA FONTANA
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:787-378-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-16
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004670101YM0800X
PR1019235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty