Provider Demographics
NPI:1063223816
Name:J.Y THERAPIST LLC
Entity type:Organization
Organization Name:J.Y THERAPIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LENGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JARBET
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO AGUADO
Authorized Official - Suffix:
Authorized Official - Credentials:SA 23264
Authorized Official - Phone:305-930-3942
Mailing Address - Street 1:8114 SW 158TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3030
Mailing Address - Country:US
Mailing Address - Phone:305-930-3942
Mailing Address - Fax:
Practice Address - Street 1:8114 SW 158TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-3030
Practice Address - Country:US
Practice Address - Phone:305-930-3942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty