Provider Demographics
NPI:1952645475
Name:BATKILIN, ELARYA (SLP)
Entity Type:Individual
Prefix:
First Name:ELARYA
Middle Name:
Last Name:BATKILIN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 THREE ISLANDS BLVD
Mailing Address - Street 2:APT.717
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2887
Mailing Address - Country:US
Mailing Address - Phone:954-802-1680
Mailing Address - Fax:
Practice Address - Street 1:500 THREE ISLANDS BLVD
Practice Address - Street 2:APT.717
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-2887
Practice Address - Country:US
Practice Address - Phone:954-802-1680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-21
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ6099235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist