Provider Demographics
NPI:1679819460
Name:ALL ABOUT SPEECH & LANGUAGE, LLC
Entity Type:Organization
Organization Name:ALL ABOUT SPEECH & LANGUAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:BRIEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:YIMOYINES
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:813-767-0763
Mailing Address - Street 1:702 GUISANDO DE AVILA
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-5203
Mailing Address - Country:US
Mailing Address - Phone:813-767-0763
Mailing Address - Fax:
Practice Address - Street 1:11146 WINTHROP MARKET ST
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4209
Practice Address - Country:US
Practice Address - Phone:813-767-0763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-24
Last Update Date:2012-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA11092235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty