| NPI | 1518363597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDDO DEVRIES Owner 323-426-6402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 17904) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-11-8177) |
| 225X00000X Occupational Therapist (Licence: CA 13868) | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 3632) | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 3202) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 19686) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 10093) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 21403) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 17647) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 22705) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 10094) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 21109) | |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2019-10-23 |