MEDICARE: MISS BIANCA NICOLE LASPADA

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		SC

General Provider Information

NPI Number	:	1295586931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS BIANCA NICOLE LASPADA

Provider Business Mailing Address
First Line	:	2922 HOWARD AVENUE
Second Line	:	UNIT D (REAR)
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-1901
Country	:	US
Telephone Number	:	609-504-7895
Fax Number	:	843-712-1580

Provider Business Practice Location Address
First Line	:	1581 CULBERTSON AVE
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-1885
Country	:	US
Telephone Number	:	609-504-7895
Fax Number	:	843-712-1580

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

Provider Enumeration Date	:	04/01/2024
Last Update Date	:	01/23/2026

Similar Medicare Providers

1558831966 — RAYMOND PHILLIP LASPADA MPT
Practice Location Address:

1581 CULBERTSON AVE
MYRTLE BEACH, SC
29577-1885

Practice Phone: 609-458-1744
Practice Fax: 843-712-1580

1437992492 — BRIANNA DANIELLE COGGINS
Practice Location Address:

1885 GLENNS BAY RD
MYRTLE BEACH, SC
29575-5629

Practice Phone: 843-650-1162
Practice Fax:

1215904206 — MR. REYNALDO AFABLE GALANG IDC
Practice Location Address:

1885 TERRIER AVE , BRANCH HEALTH CLINIC DAM NECK STE 100
VIRGINIA BEACH, VA
23461-2298

Practice Phone: 757-314-7215
Practice Fax: 757-314-7206

1265401673 — MR. RANDY SCOTT BREIDEL SUB IDC
Practice Location Address:

DAM NECK ANNEX , 1885 TERRIER AVE STE 100
VIRGINIA BEACH, VA
23461-2298

Practice Phone: 757-314-7221
Practice Fax:

1336176338 — MR. DANIEL WILLIAM ACKERMAN USN IDC
Practice Location Address:

BHC DAM NECK , 1885 TERRIER AVE, STE 100
VIRGINIA BEACH, VA
23461-2298

Practice Phone: 757-314-7221
Practice Fax:

1215082862 — MR. MIKEL E COATES IDC
Practice Location Address:

1885 TERRIER AVE , SUITE 100
VIRGINIA BEACH, VA
23461-2205

Practice Phone: 757-314-7200
Practice Fax:

Directions to “ MISS BIANCA NICOLE LASPADA ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.