Healthcare Provider Details

I. General information

NPI: 1972050839
Provider Name (Legal Business Name): BILINGUAL SPEECH THERAPY OF CLEARWATER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2016
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29257 US HIGHWAY 19 N
CLEARWATER FL
33761-2102
US

IV. Provider business mailing address

29257 US HIGHWAY 19 N
CLEARWATER FL
33761-2102
US

V. Phone/Fax

Practice location:
  • Phone: 727-201-2778
  • Fax: 813-437-1413
Mailing address:
  • Phone: 727-201-2778
  • Fax: 813-437-1413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License NumberSA11672
License Number StateFL

VIII. Authorized Official

Name: RAQUEL FUENTES-ZAPATA
Title or Position: OWNER
Credential: MS, CCC-SLP
Phone: 727-804-8181