Organization
SPEECH & DEVELOPMENT CLINIC, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ISAMAR LORENZO LORENZO SLP (PRESIDENT)
(939) 235-0543
Entity
Organization
Contact information
Practice address
BO. MALPASO, CARR. 417 KM 2.3, AGUADA, PR 00602
(939) 235-0543
Mailing address
HC 60 BOX 15324, AGUADA, PR 00602-9273
(939) 235-0543
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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