| Speech & Development Clinic, LLC. | |
|
Bo. Malpaso Carr. 417 Km 2.3 Aguada PR 00602 | |
| (939) 235-0543 | |
| Not Available |
| Full Name | Speech & Development Clinic, LLC. |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | Bo. Malpaso, Aguada, Puerto Rico |
| Authorized Official Name and Position | Isamar Lorenzo Lorenzo (PRESIDENT) |
| Authorized Official Contact | 9392350543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Speech & Development Clinic, LLC. Hc 60 Box 15324 Aguada PR 00602-9273 Ph: (939) 235-0543 | Speech & Development Clinic, LLC. Bo. Malpaso Carr. 417 Km 2.3 Aguada PR 00602 Ph: (939) 235-0543 |
| NPI Number | 1548048796 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548048796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | () | Secondary |
| 225X00000X | Occupational Therapist | () | Secondary |
| 235Z00000X | Speech-language Pathologist | () | Primary |
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