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NPI Code Detail

MEDICARE: BSPEECHIE, LLC

MEDICARE: BSPEECHIE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1225879455
Entity Type Code : Organization
Provider Name (Legal Business Name) : BSPEECHIE, LLC
Provider Business Mailing Address
First Line : 2318 SW 17TH TER
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-3003
Country : US
Telephone Number : 732-299-7530
Fax Number :
Provider Business Practice Location Address
First Line : 2318 SW 17TH TER
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-3003
Country : US
Telephone Number : 732-299-7530
Fax Number :
Authorized Official
Title or Position : SPEECH LANGUAGE PATHOLOGIST
Name : BRENDA H OGRODNICK
Credential : M.A.
Telephone Number : 732-299-7530
Provider Enumeration Date : 06/03/2024
Last Update Date : 06/03/2024

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Directions to “BSPEECHIE, LLC ” Practice Location

Language Start Address Practice Location
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