Provider Demographics
NPI:1962267856
Name:CAROLINAS SPEECH & LANGUAGE THERAPY SERVICES LLC
Entity type:Organization
Organization Name:CAROLINAS SPEECH & LANGUAGE THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:E
Authorized Official - Last Name:CARMONA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:786-499-9762
Mailing Address - Street 1:1201 NE 191ST ST APT 402
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-4063
Mailing Address - Country:US
Mailing Address - Phone:786-499-9762
Mailing Address - Fax:
Practice Address - Street 1:1201 NE 191ST ST APT 402
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-4063
Practice Address - Country:US
Practice Address - Phone:786-499-9762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty