| Speech Pathology Of Coral Gables, Inc. | |
|
603 Sw 57th Ave Miami FL 33144-3919 | |
| (305) 774-1788 | |
| (305) 774-1789 |
| Full Name | Speech Pathology Of Coral Gables, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 603 Sw 57th Ave, Miami, Florida |
| Authorized Official Name and Position | Lucy L Lopes (DIRECTOR/OWNER) |
| Authorized Official Contact | 3057741788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Speech Pathology Of Coral Gables, Inc. 603 Sw 57th Ave Miami FL 33144-3919 Ph: (305) 774-1788 | Speech Pathology Of Coral Gables, Inc. 603 Sw 57th Ave Miami FL 33144-3919 Ph: (305) 774-1788 |
| NPI Number | 1467103622 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 01/10/2022 |
| Certification Date | 01/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467103622 | NPI | - | NPPES |
| 023855600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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