MEDICARE: B.E.S.T. SPEECH THERAPY INC.

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	SA6003	FL

General Provider Information

NPI Number	:	1366632218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B.E.S.T. SPEECH THERAPY INC.

Provider Business Mailing Address
First Line	:	8461 LAKE WORTH RD
Second Line	:	SUITE 199
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2474
Country	:	US
Telephone Number	:	561-340-1418
Fax Number	:	561-439-4494

Provider Business Practice Location Address
First Line	:	8461 LAKE WORTH RD
Second Line	:	SUITE 199
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2474
Country	:	US
Telephone Number	:	561-340-1418
Fax Number	:	561-439-4494

Authorized Official
Title or Position	:	OWNER/SLP
Name	:	DIANE BENAVIDES
Credential	:	MS,CCC/SLP
Telephone Number	:	561-340-1418

Provider Enumeration Date	:	07/26/2007
Last Update Date	:	07/26/2007

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Directions to “B.E.S.T. SPEECH THERAPY INC. ” Practice Location

Language	Start Address	Practice Location

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