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EXCEPTIONAL SPEECH THERAPY NPI 1821420704


NPI Information

NPI: 1821420704
Provider Name: EXCEPTIONAL SPEECH THERAPY
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
10200 NW 25TH ST STE A-108
DORAL, FL
ZIP 33172
Phone: (786) 717-5649
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EXCEPTIONAL SPEECH THERAPY is a clinic center in Doral, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EXCEPTIONAL SPEECH THERAPY NPI is 1821420704. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10200 NW 25TH ST STE A-108
DORAL, FL
ZIP 33172-921
Phone: (786) 717-5649

The provider's authorized official is Jennifer Osorio .
The authorized official title is Director/speech Language Pathologis and has the following contact phone number (305) 733-3405.

The enumeration date for this NPI number is 8/2/2013 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225X00000XOccupational TherapistOT15005FLORIDANo
2235Z00000XSpeech-Language PathologistSA11047FLORIDANo
3261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002675000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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