MEDICARE: HABLA

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1417716648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HABLA

Provider Business Mailing Address
First Line	:	2114 BETHESDA FOUNTAIN RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3884
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2114 BETHESDA FOUNTAIN RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3884
Country	:	US
Telephone Number	:	213-880-2190
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EMILY GARCIA
Credential	:	MS CCC-SLP
Telephone Number	:	213-880-2190

Provider Enumeration Date	:	03/18/2024
Last Update Date	:	03/18/2024

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Directions to “HABLA ” Practice Location

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