CL Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 11495 Issued in FL

Legal business name

CL SPEECH THERAPY, LLC

Practice address

8025 SW 107TH Ave Apt 315
Miami, FL 33173-4836

Phone

(305) 467-6561

Fax

(708) 390-4745

NPI assigned

Jan 26, 2013

Last updated

Jan 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lilliam Manrique

Title

Manager

Phone

(305) 467-6561

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359158400000",
    "number": "1427396472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 SW 107TH AVE APT 315",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734836",
            "telephone_number": "305-467-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 SW 107TH AVE APT 315",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734836",
            "telephone_number": "305-467-6561",
            "fax_number": "708-390-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CL SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-26",
        "last_updated": "2013-01-26",
        "status": "A",
        "authorized_official_last_name": "MANRIQUE",
        "authorized_official_first_name": "LILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-467-6561",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 11495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Miami, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2013; 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.