NPI | 1124315221 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA RENA DEADWYLER CEO/Speech Pathologist 310-766-4747 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP8247) |
Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: CA SP8247) |
Enumeration Date | 2011-07-09 |
Last Update Date | 2011-07-09 |