Provider Demographics
NPI:1619417730
Name:SPEAK LEARN AND PLAY LLC
Entity Type:Organization
Organization Name:SPEAK LEARN AND PLAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:305-833-3787
Mailing Address - Street 1:25 MENORES AVE
Mailing Address - Street 2:1
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4191
Mailing Address - Country:US
Mailing Address - Phone:305-833-3787
Mailing Address - Fax:
Practice Address - Street 1:25 MENORES AVE
Practice Address - Street 2:1
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4191
Practice Address - Country:US
Practice Address - Phone:305-833-3787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-08
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA14381235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty