| NPI | 1679570980 |
|---|---|
| Doing Business As | LAUSD 97TH STREET SCHOOL MH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN DICECCO Director 213-241-3846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CA ss1964733) |
| 251300000X Local Education Agency (LEA) (Licence: CA SS1964733) | |
| 251K00000X Public Health or Welfare (Licence: CA SS1964733) | |
| 251S00000X (Licence: CA 0315) | |
| 103TS0200X Psychologist, School (Licence: CA SS1964733) | |
| 101YS0200X Counselor, School (Licence: CA SS1964733) | |
| 231H00000X Audiologist (Licence: CA SS1964733) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SS1964733) | |
| 225100000X Physical Therapist (Licence: CA SS1964733) | |
| 225X00000X Occupational Therapist (Licence: CA SS1964733) | |
| 163WS0200X Registered Nurse, School (Licence: CA SS1964733) | |
| 363LS0200X Nurse Practitioner, School (Licence: CA SS1964733) | |
| 208000000X Pediatrics (Licence: CA SS1964733) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2012-11-06 |