NPI | 1316102882 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERTA LOIS TISHMAN Owner 310-858-5955 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP3163) |
Enumeration Date | 2008-07-24 |
Last Update Date | 2008-07-24 |