MEDICARE: ACE SPEECH & LANGUAGE, L.L.C

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
2	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	:	1891270955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACE SPEECH & LANGUAGE, L.L.C

Provider Business Mailing Address
First Line	:	3900 WOODLAKE BLVD STE 202
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3010
Country	:	US
Telephone Number	:	561-704-7172
Fax Number	:	800-605-7536

Provider Business Practice Location Address
First Line	:	3900 WOODLAKE BLVD STE 202
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3010
Country	:	US
Telephone Number	:	561-704-7172
Fax Number	:	800-605-7536

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MRS. NICOLE ALLEN
Credential	:	M.S, CCC-SLP
Telephone Number	:	561-704-7172

Provider Enumeration Date	:	09/25/2018
Last Update Date	:	03/08/2021

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Directions to “ACE SPEECH & LANGUAGE, L.L.C ” Practice Location

Language	Start Address	Practice Location

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