Provider Demographics
NPI:1467208736
Name:IM NEUROSPEECH & SWALLOW SOLUTIONS LLC
Entity type:Organization
Organization Name:IM NEUROSPEECH & SWALLOW SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH AND LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MELENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:786-763-0480
Mailing Address - Street 1:5335 NW 87TH AVE STE 109-116
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2833
Mailing Address - Country:US
Mailing Address - Phone:786-763-0480
Mailing Address - Fax:786-206-3476
Practice Address - Street 1:3625 NW 82ND AVE STE 400
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-7602
Practice Address - Country:US
Practice Address - Phone:786-763-0480
Practice Address - Fax:786-206-3476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-27
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Single Specialty