Provider Demographics
NPI:1780993691
Name:SPEECH SPECIALIST SERVICES, INC
Entity type:Organization
Organization Name:SPEECH SPECIALIST SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JONANHT
Authorized Official - Middle Name:
Authorized Official - Last Name:INGUANZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-253-5768
Mailing Address - Street 1:15051 SW 152ND TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-5548
Mailing Address - Country:US
Mailing Address - Phone:786-564-7973
Mailing Address - Fax:305-320-5862
Practice Address - Street 1:18951 SW 106TH AVE
Practice Address - Street 2:CENTRE AT CUTLER BAY, BUILDING B, BAY 110
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-7668
Practice Address - Country:US
Practice Address - Phone:786-564-7973
Practice Address - Fax:305-320-5862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-28
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No172A00000XOther Service ProvidersDriverGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty