Provider Demographics
NPI:1093047409
Name:BILINGUAL SLP SERVICES
Entity Type:Organization
Organization Name:BILINGUAL SLP SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP/DIRECTOR & OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GALLEGOS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC
Authorized Official - Phone:602-346-2757
Mailing Address - Street 1:16841 N 31ST AVE
Mailing Address - Street 2:SUITE 131
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85053-3012
Mailing Address - Country:US
Mailing Address - Phone:602-346-2757
Mailing Address - Fax:602-391-2150
Practice Address - Street 1:16841 N 31ST AVE
Practice Address - Street 2:SUITE 131
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-3012
Practice Address - Country:US
Practice Address - Phone:602-346-2757
Practice Address - Fax:602-391-2150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP1630235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty