| Organization Name: | GDG BILINGUAL THERAPY GROUP, LLC |
| NPI Number: | 1881913739 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERSON GUZMAN (OWNER) |
| Mailing Address: | 101 Hanna Ln Davenport |
| State: | FL US |
| Postal Code: | 338975927 |
| Phone Number: | 4079226656 |
| Fax Number: | 8634385271 |
| NPI Enumeration Date: | 05/18/2010 |
| NPI Last Update Date: | 01/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA6430 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |