MEDICARE: ESTEFANIA ESCOBAR M.S., CCC-SLP

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	SLP013145	GA
2	235Z00000X	Speech-Language Pathologist	SA23693	FL

General Provider Information

NPI Number	:	1124646880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTEFANIA ESCOBAR M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	321 NE 19TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-2715
Country	:	US
Telephone Number	:	786-397-0034
Fax Number	:

Provider Business Practice Location Address
First Line	:	321 NE 19TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-2715
Country	:	US
Telephone Number	:	786-397-0034
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2020
Last Update Date	:	05/30/2026

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Directions to “ ESTEFANIA ESCOBAR M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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