Basic Information
| Provider Information | |||||||||
| NPI: | 1033551395 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GLOBAL SPEECH AND REHAB SERVICES, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8362 PINES BLVD | ||||||||
| Address2: | #119 | ||||||||
| City: | PEMBROKE PINES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330246600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7863573504 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1031 IVES DAIRY RD | ||||||||
| Address2: | SUITE 228 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331792538 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7863573504 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2013 | ||||||||
| LastUpdateDate: | 08/17/2015 | ||||||||
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| AuthorizedOfficialLastName: | BAILLOU | ||||||||
| AuthorizedOfficialFirstName: | HASINA | ||||||||
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| AuthorizedOfficialTitleorPosition: | SPEECH LANGUAGE PATHOLOGISTS | ||||||||
| AuthorizedOfficialTelephone: | 7863573504 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | SLP | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SA 12958 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.