Provider Demographics
NPI:1841329927
Name:BILINGUAL SPEECH-LANGUAGE PATHOLOGY CENTER, INC.
Entity type:Organization
Organization Name:BILINGUAL SPEECH-LANGUAGE PATHOLOGY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:239-479-5093
Mailing Address - Street 1:3049 CLEVELAND AVE
Mailing Address - Street 2:SUITE 275
Mailing Address - City:FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901
Mailing Address - Country:US
Mailing Address - Phone:239-479-5093
Mailing Address - Fax:239-479-5094
Practice Address - Street 1:3049 CLEVELAND AVE
Practice Address - Street 2:SUITE 275
Practice Address - City:FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901
Practice Address - Country:US
Practice Address - Phone:239-479-5093
Practice Address - Fax:239-479-5094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty