Organization
BAY AREA SPEECH-LANGUAGE AND COGNITIVE THERAPY LLC
Active
Other names
Bay Area Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE KARIDAS VILARDEBO PH.D. (PRESIDENT)
(813) 956-9564
Entity
Organization
Contact information
Practice address
303 BRYAN RD STE 2, BRANDON, FL 33511-5342
(813) 956-9564
Mailing address
303 BRYAN RD STE 2, BRANDON, FL 33511-5342
(813) 956-9564
(813) 422-7816
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA14084
FL
Other
Enumeration date
04/24/2018
Last updated
04/29/2019
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