NPI | 1386975233 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA SUE WILEY Owner President/Slp 310-649-6199 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP3380) |
Enumeration Date | 2010-01-15 |
Last Update Date | 2010-09-29 |