Bay Area Speech-Language and Cognitive Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA14084 Issued in FL

Legal business name

BAY AREA SPEECH-LANGUAGE AND COGNITIVE THERAPY LLC

Doing business as

Bay Area Speech Therapy

Practice address

303 Bryan Rd Ste 2
Brandon, FL 33511-5342

Phone

(813) 956-9564

NPI assigned

Apr 24, 2018

Last updated

Apr 29, 2019By 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

Dr. Stephanie Karidas Vilardebo, PH.D.

Title

President

Phone

(813) 956-9564

Specialties & licenses 1

Addresses

Other names 1

• Bay Area Speech Therapy Doing business as

Locations

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1932697042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BRYAN RD STE 2",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115342",
            "telephone_number": "813-956-9564",
            "fax_number": "813-422-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BRYAN RD STE 2",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115342",
            "telephone_number": "813-956-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA SPEECH-LANGUAGE AND COGNITIVE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "KARIDAS VILARDEBO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-956-9564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Brandon, FL
• Providers in Brandon, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.