Provider Demographics
NPI:1124695499
Name:DELGADO BATISTA, KARLA (SLP)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:DELGADO BATISTA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 CORYDON DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4976
Mailing Address - Country:US
Mailing Address - Phone:305-951-7659
Mailing Address - Fax:
Practice Address - Street 1:15485 EAGLE NEST LN STE 220
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2222
Practice Address - Country:US
Practice Address - Phone:786-477-5783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-07
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ10065235Z00000X
FLSA20828235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist