Provider Demographics
NPI:1548515703
Name:BILINGUAL SPEECH-LANGUAGE PATHOLOGY, LLC
Entity type:Organization
Organization Name:BILINGUAL SPEECH-LANGUAGE PATHOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:JULBE-DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:813-388-3789
Mailing Address - Street 1:3632 LAND O LAKES BLVD
Mailing Address - Street 2:SUITE 104 ROOM 3
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-4405
Mailing Address - Country:US
Mailing Address - Phone:813-388-3789
Mailing Address - Fax:
Practice Address - Street 1:3632 LAND O LAKES BLVD
Practice Address - Street 2:SUITE 104 ROOM 3
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-4405
Practice Address - Country:US
Practice Address - Phone:813-388-3789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA10985235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty