Provider Demographics
NPI:1952749848
Name:ECHOLES, HASINA S (SLP)
Entity Type:Individual
Prefix:MRS
First Name:HASINA
Middle Name:S
Last Name:ECHOLES
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:HASINA
Other - Middle Name:S
Other - Last Name:BAILLOU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:520 NW 165TH ST STE 205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-6343
Mailing Address - Country:US
Mailing Address - Phone:786-623-4053
Mailing Address - Fax:786-579-9112
Practice Address - Street 1:540 NW 165TH ST
Practice Address - Street 2:UNIT 111
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-6304
Practice Address - Country:US
Practice Address - Phone:786-357-3504
Practice Address - Fax:726-524-0250
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA-12958222Q00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist