MEDICARE: BI-COUNTY SPEECH LANGUAGE PATHOLOGY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	222Q00000X	Developmental Therapist
2	224Z00000X	Occupational Therapy Assistant
3	225100000X	Physical Therapist
4	225200000X	Physical Therapy Assistant
5	225X00000X	Occupational Therapist
6	2355S0801X	Speech-Language Assistant
7	235Z00000X	Speech-Language Pathologist
8	261Q00000X	Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number	:	1447265822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BI-COUNTY SPEECH LANGUAGE PATHOLOGY, INC.

Provider Business Mailing Address
First Line	:	4301 S FLAMINGO RD
Second Line	:	#101
City	:	DAVIE
State	:	FL
Zip	:	33330-1902
Country	:	US
Telephone Number	:	954-312-3449
Fax Number	:	954-251-2752

Provider Business Practice Location Address
First Line	:	4301 S FLAMINGO RD
Second Line	:	101
City	:	DAVIE
State	:	FL
Zip	:	33330-1902
Country	:	US
Telephone Number	:	954-312-3449
Fax Number	:	954-251-2752

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. STEPHANIE EISEN GILFARB
Credential	:	M.S. CCC-SLP
Telephone Number	:	954-312-3449

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	10/03/2022

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