Provider Demographics
NPI:1205215118
Name:THE COMMUNICATION CORNER
Entity Type:Organization
Organization Name:THE COMMUNICATION CORNER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGOS
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:305-987-4748
Mailing Address - Street 1:9415 SW 72ND ST
Mailing Address - Street 2:SUITE 175
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-5427
Mailing Address - Country:US
Mailing Address - Phone:305-987-4748
Mailing Address - Fax:305-503-7558
Practice Address - Street 1:9415 SW 72ND ST
Practice Address - Street 2:SUITE 175
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5427
Practice Address - Country:US
Practice Address - Phone:305-987-4748
Practice Address - Fax:305-503-7558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty