Healthcare Provider Details

I. General information

NPI: 1962387167
Provider Name (Legal Business Name): ACTION SPEECH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2124 NE 123RD ST STE 210
NORTH MIAMI FL
33181-2939
US

IV. Provider business mailing address

2001 BISCAYNE BLVD APT 3402
MIAMI FL
33137-5027
US

V. Phone/Fax

Practice location:
  • Phone: 305-788-9054
  • Fax:
Mailing address:
  • Phone: 786-403-0696
  • 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: SUSAN STROCK
Title or Position: SPEECH-LANGUAGE PATHOLOGIST/MEMBER
Credential: SLP
Phone: 305-788-5094