Provider Demographics
NPI:1972050839
Name:BILINGUAL SPEECH THERAPY OF CLEARWATER LLC
Entity Type:Organization
Organization Name:BILINGUAL SPEECH THERAPY OF CLEARWATER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FUENTES-ZAPATA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:727-804-8181
Mailing Address - Street 1:1802 N BELCHER RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-1454
Mailing Address - Country:US
Mailing Address - Phone:727-201-2778
Mailing Address - Fax:813-437-1413
Practice Address - Street 1:1802 N BELCHER RD
Practice Address - Street 2:SUITE 110
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-1454
Practice Address - Country:US
Practice Address - Phone:727-201-2778
Practice Address - Fax:813-437-1413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2021-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA11672251E00000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251E00000XAgenciesHome Health