Healthcare Provider Details

I. General information

NPI: 1891619847
Provider Name (Legal Business Name): STEFFINE BADALOW SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2736 HOLLYWOOD BLVD
HOLLYWOOD FL
33020-4808
US

IV. Provider business mailing address

1953 GARFIELD ST
HOLLYWOOD FL
33020-3117
US

V. Phone/Fax

Practice location:
  • Phone: 954-603-1881
  • Fax: 954-603-5341
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA23651
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: