Organization
ELLIE SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELEANOR SEQUEIRA M.S., CCC-SLP (SPEECH LANGUAG PATHOLOGIST/OWNER)
(832) 566-3033
Entity
Organization
Contact information
Practice address
92 NW 93RD ST, MIAMI SHORES, FL 33150-2233
(832) 566-3033
(305) 203-1229
Mailing address
92 NW 93RD ST, MIAMI SHORES, FL 33150-2233
(832) 566-3033
(305) 203-1229
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12353
FL
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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