Provider Demographics
NPI:1760121933
Name:HOPE SPEECH THERAPY SLP P C
Entity Type:Organization
Organization Name:HOPE SPEECH THERAPY SLP P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ESPERANZA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ JUNCO
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:631-455-2757
Mailing Address - Street 1:2901 S PALM AIRE DR APT 609
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-4213
Mailing Address - Country:US
Mailing Address - Phone:631-455-2757
Mailing Address - Fax:754-800-2719
Practice Address - Street 1:2901 S PALM AIRE DR APT 609
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-4213
Practice Address - Country:US
Practice Address - Phone:631-455-2757
Practice Address - Fax:754-800-2719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2024-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty