| NPI | 1053027441 |
|---|---|
| Doing Business As | SUPERNOVA SPEECH THERAPY |
| Entity Type | Organization |
| Authorized Contact | KATHY MAGANA-GOMEZ CEO/Speech Language Pathologist 562-317-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-27 |