Provider Demographics
NPI:1548359995
Name:SMART SPEECH BILINGUAL THERAPY, INC.
Entity type:Organization
Organization Name:SMART SPEECH BILINGUAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KARMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:POLLERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-242-9141
Mailing Address - Street 1:15840 SAUSALITO CIR
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-9687
Mailing Address - Country:US
Mailing Address - Phone:352-242-9141
Mailing Address - Fax:
Practice Address - Street 1:15840 SAUSALITO CIR
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-9687
Practice Address - Country:US
Practice Address - Phone:352-242-9141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 5961235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty