Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669514246 Individual Practitioner Female Practitioner

Edith Lisbeth Jacir , CCC-SLP

Speech-Language Pathologist • Weston, FL

Professional Overview & Biography Verified Profile Summary

Edith Jacir, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Weston, FL. Practice services are available at 2645 EXECUTIVE PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2645 Executive Park Dr

Weston, FL 333313624

Telephone 9546442645
Fax 9542481974
Associated Practice Facility / Clinic
🏢 Psychodynanic Consulting Inc. Facility NPI 1659554491

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Weston, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
88 Specialists

Practicing in Weston, FL (11640 Statewide)

Telehealth Adoption Rate
1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-19
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA5276

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8850445 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1306029145

Master of Science, Licensed Mental Health Counselor

Dr. Richard Seely , MD

Psychiatry & Neurology - Psychiatry

NPI 1457417438

Doctor of Medicine (M.D.)

Ruth Susterman , LMHC

Counselor - Mental Health

NPI 1780085084

Licensed Mental Health Counselor

Seth Infante

Durable Medical Equipment & Medical Supplies

NPI 1962022038

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 19, 2024

Registered at 2645 EXECUTIVE PARK DR, WESTON, FL 333313624 (Tel: 9546442645)

📍
Updated Business Mailing Address September 19, 2024

Registered at 4474 WESTON RD STE 214, DAVIE, FL 333313195 (Tel: 9546442645)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4474 WESTON RD, MB#214, DAVIE, FL 333313195 (Tel: 9546442645)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1046 WATERSIDE CIR, WESTON, FL 333272022 (Tel: 9546442645)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EDITH JACIR, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #SA5276 in FL)

🟢
Initial NPI Registration & Enumeration February 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669514246
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2007
Last Update: September 19, 2024
Sole Proprietor: Yes

Mailing Address

4474 Weston Rd Ste 214

Davie, FL 333313195

Phone: 9546442645

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.