| NPI | 1740656305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI WADE Speech Language Pathologist 310-266-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: CO 0001755) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |