| NPI | 1861549289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A EDWARDS Office Administrator 818-774-0224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2010-09-17 |