Provider Demographics
NPI:1174202477
Name:NEUROLOGIC INSIGHTS LLC
Entity type:Organization
Organization Name:NEUROLOGIC INSIGHTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:VAZQUEZ-DAVILA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:787-380-8614
Mailing Address - Street 1:JARDINES SAN LORENZO C 4 F10A
Mailing Address - Street 2:
Mailing Address - City:SAN LORENZO
Mailing Address - State:PR
Mailing Address - Zip Code:00754-3743
Mailing Address - Country:US
Mailing Address - Phone:787-380-8614
Mailing Address - Fax:
Practice Address - Street 1:PASEO PALMA REAL C/CALANDRIA E-2
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777
Practice Address - Country:US
Practice Address - Phone:787-380-8614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty