MEDICARE: MS. PAMELA CAYE INSERRA 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	SL011462	PA
2	235Z00000X	Speech-Language Pathologist	SA23294	FL
3	235Z00000X	Speech-Language Pathologist	LL60434542	WA

General Provider Information

NPI Number	:	1952723728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAMELA CAYE INSERRA CCC-SLP

Provider Business Mailing Address
First Line	:	111 E MONUMENT AVE UNIT 410
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-5774
Country	:	US
Telephone Number	:	407-243-8657
Fax Number	:	407-264-8903

Provider Business Practice Location Address
First Line	:	111 E MONUMENT AVE UNIT 410
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-5774
Country	:	US
Telephone Number	:	407-243-8657
Fax Number	:	407-264-8903

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

Provider Enumeration Date	:	01/14/2014
Last Update Date	:	04/13/2026

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