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NPI Code Detail

MEDICARE: ELITE SPEECH CARE LLC

MEDICARE: ELITE SPEECH CARE LLC
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
1235Z00000XSpeech-Language Pathologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215581160
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELITE SPEECH CARE LLC
Provider Business Mailing Address
First Line : 16203 PANTHEON PASS
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33446-2316
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16203 PANTHEON PASS
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33446-2316
Country : US
Telephone Number : 561-504-5774
Fax Number :
Authorized Official
Title or Position : SLP/OWNER
Name : STACY HUTTMAN
Credential : SLP
Telephone Number : 561-676-6784
Provider Enumeration Date : 07/30/2019
Last Update Date : 07/30/2019

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Directions to “ELITE SPEECH CARE LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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