| NPI | 1477881274 |
|---|---|
| Doing Business As | PROVENANCE SPEECH AND LANGUAGE SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | DOROTHY M POLITE President 310-566-7479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 12871) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2010-07-20 |