MEDICARE: MRS. HELINDA PEREZ MA, 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	011279	NY

General Provider Information

NPI Number	:	1407082696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HELINDA PEREZ MA, CCC-SLP

Provider Business Mailing Address
First Line	:	1608 MACE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-6221
Country	:	US
Telephone Number	:	718-547-9595
Fax Number	:	718-547-2323

Provider Business Practice Location Address
First Line	:	1608 MACE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-6221
Country	:	US
Telephone Number	:	718-547-9595
Fax Number	:	718-547-2323

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

Provider Enumeration Date	:	06/02/2009
Last Update Date	:	06/02/2009

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Directions to “ MRS. HELINDA PEREZ MA, CCC-SLP” Practice Location

Language	Start Address	Practice Location

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