NPI 1073751541 · live from the CMS NPI Registry
Melixsa Acosta, M.S., CCC-SLP
Speech-Language Pathologist, in Fort Lauderdale, FL. National Provider Identifier 1073751541, active.
NPI record
| NPI | 1073751541 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2200 Ne 33rd Ave, 10j, Fort Lauderdale, FL 33305 |
| Practice phone | 610-804-6080 |
| Enumerated | January 22, 2009 |
| Last updated | March 8, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SA14262 (FL) |
| Developmental Therapist | 222Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.