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Organization

SPEECHOLOGY101

Active
Other names
Speechology101
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISANDRA LIZ (SPEECH PATHOLOGYST)
(786) 269-6045
Entity
Organization

Contact information

Practice address
8850 SW 42ND ST, MIAMI, FL 33165-5320
(786) 269-6045
Mailing address
8850 SW 42ND ST, MIAMI, FL 33165-5320
(786) 269-6045

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
03/21/2020
Last updated
03/21/2020
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