Provider Demographics
NPI:1659488401
Name:PATRICIA L. HERRINGTON
Entity Type:Organization
Organization Name:PATRICIA L. HERRINGTON
Other - Org Name:COMMUNICARE THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PROPRIATOR / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HERRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:M ED, CCC/SLP
Authorized Official - Phone:954-812-6699
Mailing Address - Street 1:4943 SW 95TH AVE
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3412
Mailing Address - Country:US
Mailing Address - Phone:954-252-7591
Mailing Address - Fax:954-252-7591
Practice Address - Street 1:4943 SW 95TH AVE
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-3412
Practice Address - Country:US
Practice Address - Phone:954-252-7591
Practice Address - Fax:954-252-7591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 4272235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL889607100Medicaid