| Innovative Speech Therapy Group | |
|
1597 Sw 194th Ter, Pembroke Pines, FL 33029-6161 | |
| (754) 234-6577 | |
| Not Available |
| Full Name | Innovative Speech Therapy Group |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1597 Sw 194th Ter, Pembroke Pines, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689085300 | NPI | - | NPPES |
| 001704500 | Other | FL | MEDICAID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA 9460 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Speech Therapy Group 1597 Sw 194th Ter, Pembroke Pines, FL 33029-6161 Ph: (754) 234-6577 | Innovative Speech Therapy Group 1597 Sw 194th Ter, Pembroke Pines, FL 33029-6161 Ph: (754) 234-6577 |
Mrs. Yanique Nicole Ryland-lee, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10120 Nw 4th Ct, Pembroke Pines, FL 33026 Phone: 954-815-4004 | |
Averil Kayla Mark, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12207 Sw 6th St, Pembroke Pines, FL 33025 Phone: 954-683-7090 | |
Carly Dorfman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12301 Taft St, Suite #200, Pembroke Pines, FL 33026 Phone: 954-312-3449 | |
Bianca Alexis Rego, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 Phone: 954-606-5439 Fax: 954-606-5430 | |
Pamela Ezinwanne Altema, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1781 Nw 123rd Ave, Pembroke Pines, FL 33026 Phone: 754-423-3111 | |
Mrs. Shelley Rehberg Gardner, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17892 Sw 12th Ct, Pembroke Pines, FL 33029 Phone: 954-437-6277 Fax: 954-437-6277 | |
Miss Jill R Kirschenbaum, SLP-CFY Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3157 N University Dr Ste 103, Pembroke Pines, FL 33024 Phone: 954-442-9422 |