1972744670 NPI number — THE SPEECH PATHOLOGY GROUP, INC.

Table of content: LINDA ELAINE ALLEE ARNP (NPI 1649337064)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972744670 NPI number — THE SPEECH PATHOLOGY GROUP, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE SPEECH PATHOLOGY GROUP, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972744670
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/05/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7581 SW 190TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CUTLER BAY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33157-7385
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-246-0499
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7581 SW 190TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CUTLER BAY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33157-7385
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-246-0499
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/10/2009

Additional Information

Authorized Official

Authorized Official Last Name:
ABASCAL
Authorized Official First Name:
CRISTIN
Authorized Official Middle Name:
AGUILERA
Authorized Official Title or Position:
SPEECH PATHOLOGIST/PRESIDENT
Authorized Official Telephone Number:
786-246-0499

Provider Taxonomy Codes

  • Taxonomy code: 261QH0700X , with the licence number:  SA9119 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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