Healthcare Provider Details

I. General information

NPI: 1295690659
Provider Name (Legal Business Name): EPHPHATHA SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 CYPRESS POINTE DR
CORAL SPRINGS FL
33071-4269
US

IV. Provider business mailing address

1610 CYPRESS POINTE DR
CORAL SPRINGS FL
33071-4269
US

V. Phone/Fax

Practice location:
  • Phone: 917-685-8012
  • Fax:
Mailing address:
  • Phone: 917-685-8012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MARIA BAILEY
Title or Position: OWNER/SPEECH LANGUAGE PATHOLOGIST
Credential: MS, CCC-SLP
Phone: 917-685-8012