NPI | 1407063837 |
---|---|
Doing Business As | VITAL SPEECH AND SWALLOW, APC |
Entity Type | Organization |
Authorized Contact | LAWRENCE WALTER CHESPAK President 818-707-7704 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA G62697) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA CCC9644) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2008-03-10 |