Provider Demographics
NPI:1851750210
Name:BILINGUAL SLP SERVICES
Entity Type:Organization
Organization Name:BILINGUAL SLP SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GALLEGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-626-8851
Mailing Address - Street 1:3807 N 30TH ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-6911
Mailing Address - Country:US
Mailing Address - Phone:520-313-4874
Mailing Address - Fax:
Practice Address - Street 1:11024 N 28TH DR STE 140
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-4335
Practice Address - Country:US
Practice Address - Phone:602-626-8851
Practice Address - Fax:602-865-8020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-14
Last Update Date:2016-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization