Elizabeth Haller
Individual provider Active NPI Speech-Language Assistant · Village of Palmetto Bay, FL
NPI 1013066356 · NPPES record last updated Dec 7, 2022
Key facts
- NPI
- 1013066356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- SI863 (FL)
- Practice address
- 18001 Old Cutler Rd
Suite 354
Village of Palmetto Bay, FL 33157-6422 - Phone
- (305) 251-7477
- Fax
- (305) 251-7475
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36018 | TX | MD | General Practice Dentistry |
| SI863 | FL | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healis Rehabilitation Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 36018 | TX | |
| Speech-Language Assistant | 2355S0801X | SI863 | FL | Yes |
Addresses
Primary practice location
18001 Old Cutler Rd
Suite 354
Village of Palmetto Bay, FL 33157-6422
Mailing address
18001 Old Cutler Rd
Suite 354
Village of Palmetto Bay, FL 33157-6422
Phone (305) 251-7477
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013066356 | Medicaid | TX |
Other providers in Village of Palmetto Bay, FL
- Karl Walter Green
- Patrice Greenwald
- Mitchell Gregg
- Guido G. Urizar,M.D.,P.a.
- Elizabeth Hall
- Cheryl Hamilton
- Healis Rehabilitation Center
- Henry M. Storper M.D.P.a.
- Patricia Cintron Hernandez
- Stephanie Lois Hume
All providers in Village of Palmetto Bay, FL · Speech-Language Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.