Provider Demographics
NPI:1275838948
Name:KIDS THERAPY CONNECTION, INC.
Entity Type:Organization
Organization Name:KIDS THERAPY CONNECTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA, SLP-CCC
Authorized Official - Phone:786-210-1106
Mailing Address - Street 1:5775 SW 42ND TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-5313
Mailing Address - Country:US
Mailing Address - Phone:786-210-1106
Mailing Address - Fax:305-263-7699
Practice Address - Street 1:5775 SW 42ND TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-5313
Practice Address - Country:US
Practice Address - Phone:786-210-1106
Practice Address - Fax:305-263-7699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty