Provider Demographics
NPI:1982489589
Name:SPEECH AND LANGUAGE DEVELOPMENT CENTER, LLC
Entity Type:Organization
Organization Name:SPEECH AND LANGUAGE DEVELOPMENT CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER SLP
Authorized Official - Prefix:
Authorized Official - First Name:HIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-531-3439
Mailing Address - Street 1:11700 LEBANON RD APT 1022
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-8277
Mailing Address - Country:US
Mailing Address - Phone:786-531-3439
Mailing Address - Fax:
Practice Address - Street 1:5360 SW 110TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-6960
Practice Address - Country:US
Practice Address - Phone:786-531-3439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center