Provider Demographics
NPI:1265677736
Name:COSME TORRES BILINGUAL SPEECH SERVICES, LLC
Entity Type:Organization
Organization Name:COSME TORRES BILINGUAL SPEECH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:COSME
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC/SLP
Authorized Official - Phone:203-218-8786
Mailing Address - Street 1:49 CANNON ST STE 208
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06604-4251
Mailing Address - Country:US
Mailing Address - Phone:203-218-8786
Mailing Address - Fax:
Practice Address - Street 1:49 CANNON ST STE 208
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604-4251
Practice Address - Country:US
Practice Address - Phone:203-218-8786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003967235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT003967OtherSPEECH LANGUAGE PATHOLOGIST LICENSE
NY1073767166OtherNPI