Provider Demographics
NPI:1174832786
Name:LM BILINGUAL SPEECH PATHOLOGY SERVICES, P.C.
Entity Type:Organization
Organization Name:LM BILINGUAL SPEECH PATHOLOGY SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LORILET
Authorized Official - Middle Name:
Authorized Official - Last Name:MONEGRO
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC/SLP
Authorized Official - Phone:646-226-9958
Mailing Address - Street 1:3320 RESERVOIR OVAL E
Mailing Address - Street 2:SUITE 5D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-3110
Mailing Address - Country:US
Mailing Address - Phone:646-226-9958
Mailing Address - Fax:
Practice Address - Street 1:234 E 204TH ST
Practice Address - Street 2:STORE #2
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-1348
Practice Address - Country:US
Practice Address - Phone:646-226-9958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0167641235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty