Organization Active NPI

Clervaud Speech Therapy Services Inc.

  • Speech-Language Pathologist
  • Lauderhill, FL
National Provider Identifier
1356640106
Registry record updated Mar 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA10506 Issued in FL
Legal business name
CLERVAUD SPEECH THERAPY SERVICES INC.
Practice address
7171 Sienna Ridge LN
Lauderhill, FL 33319-4313
Phone
(305) 905-8818
Fax
(954) 533-1481
NPI assigned
Mar 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Katia Clervaud, M.S., CCC-SLPNPI 1548598931
Title
Speech Language Pathologist
Phone
(305) 905-8818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA10506 FL Primary

Addresses

Primary practice location

7171 Sienna Ridge LN
Lauderhill, FL 33319-4313

Mailing address

7171 Sienna Ridge LN
Lauderhill, FL 33319-4313
Phone (305) 905-8818

Other identifiers 1

IdentifierTypeStateIssuer
001689000MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300492800000",
    "number": "1356640106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 SIENNA RIDGE LN",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333194313",
            "telephone_number": "305-905-8818",
            "fax_number": "954-533-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 SIENNA RIDGE LN",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333194313",
            "telephone_number": "305-905-8818",
            "fax_number": "954-533-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLERVAUD SPEECH THERAPY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-19",
        "last_updated": "2011-03-19",
        "status": "A",
        "authorized_official_last_name": "CLERVAUD",
        "authorized_official_first_name": "KATIA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "305-905-8818",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001689000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.