MEDICARE: TRILANGUE SPEECH THERAPY SERVICES, 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	SA9142	FL

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	:	1508229865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRILANGUE SPEECH THERAPY SERVICES, INC.

Provider Business Mailing Address
First Line	:	4748 SW 39TH WAY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-5446
Country	:	US
Telephone Number	:
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	:	PRESIDENT
Name	:	YAMILEE GASPARD-WOLFF
Credential	:	SLP, M.S., CCC
Telephone Number	:	305-968-5007

Provider Enumeration Date	:	04/03/2016
Last Update Date	:	04/03/2016

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Directions to “TRILANGUE SPEECH THERAPY SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

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