Provider Demographics
NPI:1225470172
Name:BILINGUAL SPEECH & LANGUAGE THERAPY, INC.
Entity Type:Organization
Organization Name:BILINGUAL SPEECH & LANGUAGE THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:DAYSI
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:786-597-3855
Mailing Address - Street 1:1845 NE 8TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-4705
Mailing Address - Country:US
Mailing Address - Phone:786-410-5839
Mailing Address - Fax:786-410-5837
Practice Address - Street 1:1845 NE 8TH ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-4705
Practice Address - Country:US
Practice Address - Phone:786-410-5839
Practice Address - Fax:786-410-5837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA11996235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL007853500Medicaid