| NPI | 1942639786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY PAYNE Owner/Director 323-525-0247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 9299) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |