Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lellany Vivanco, SLP

Individual provider Speech-Language Pathologist · NPI 1548570757

Lellany Vivanco, SLP is a Speech-Language Pathologist in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

1405 SW 107th Ave Ste 301-H1
Miami, FL 33174-2533
Phone: (305) 602-8098
Fax: (305) 602-8208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA11115 (FL)

Record details

NPI number1548570757
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorYes
NPI enumeratedOctober 21, 2010
Last updated in NPPESMay 18, 2015
Mailing address1405 Sw 107th Ave, Suite 301-H1, Miami, FL 33174-2533

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