Provider Demographics
NPI:1740826536
Name:BOCA SPEECH, STUTTERING & VOICE CENTER LLC
Entity type:Organization
Organization Name:BOCA SPEECH, STUTTERING & VOICE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH AND LANGUAGE PATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BERLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:SLPD, CCC, SLP
Authorized Official - Phone:561-416-4046
Mailing Address - Street 1:2385 NW EXECUTIVE CENTER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-8510
Mailing Address - Country:US
Mailing Address - Phone:561-416-4046
Mailing Address - Fax:561-208-6023
Practice Address - Street 1:2385 NW EXECUTIVE CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-8510
Practice Address - Country:US
Practice Address - Phone:561-416-4046
Practice Address - Fax:561-208-6023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-27
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech