Organization Name: | LAKE SPEECH AND LANGUAGE EVALUATION AND TREATMENT SERVICES, INC. |
NPI Number: | 1821385337 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH S LOBAINA (DIRECTOR/ OWNER) |
Mailing Address: | 835 7th St Suite 7 Clermont |
State: | FL US |
Postal Code: | 347112190 |
Phone Number: | 3524323998 |
Fax Number: | 3524323999 |
NPI Enumeration Date: | 07/05/2011 |
NPI Last Update Date: | 07/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA8887 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |