MEDICARE: MRS. YAMILEE GASPARD-WOLFF SLP, MS-CCC

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	SZ3781	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26-0894566	OTHER	FL	TRILANGUE SPEECH THERAPY SERVICES, INC.

General Provider Information

NPI Number	:	1225157134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. YAMILEE GASPARD-WOLFF SLP, MS-CCC

Provider Business Mailing Address
First Line	:	4748 SW 39TH WAY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-5446
Country	:	US
Telephone Number	:	305-968-5007
Fax Number	:

Provider Business Practice Location Address
First Line	:	4748 SW 39TH WAY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-5446
Country	:	US
Telephone Number	:	305-968-5007
Fax Number	:

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

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	03/24/2016

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