Organization
SPEECH PATHOLOGY OF CORAL GABLES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCY L LOPES M.S., CCC-SLP (PRESIDENT/ SPEECH-LANGUAGE PATHOLOG)
(305) 774-1788
Entity
Organization
Contact information
Practice address
603 SW 57TH AVE, MIAMI, FL 33144-3919
(305) 774-1788
(305) 774-1789
Mailing address
250 CATALONIA AVE, SUITE 804, CORAL GABLES, FL 33134-6735
(305) 774-1788
(305) 774-1789
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003542700
—
FL
Enumeration date
07/14/2009
Last updated
12/16/2022
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