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NPI Code Detail

MEDICARE: SPEECH AND LANGUAGE THERAPY SERVICES

MEDICARE: SPEECH AND LANGUAGE THERAPY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP4812CA

General Provider Information

NPI Number : 1174730410
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPEECH AND LANGUAGE THERAPY SERVICES
Provider Business Mailing Address
First Line : 9432 OLIVE ST
Second Line :
City : TEMPLE CITY
State : CA
Zip : 91780-3156
Country : US
Telephone Number : 626-287-8592
Fax Number : 626-451-6852
Provider Business Practice Location Address
First Line : 9432 OLIVE ST
Second Line :
City : TEMPLE CITY
State : CA
Zip : 91780-3156
Country : US
Telephone Number : 626-287-8592
Fax Number : 626-451-6852
Authorized Official
Title or Position : CFO
Name : MRS. TERRY KAPPE
Credential : MA CCC
Telephone Number : 626-287-8592
Provider Enumeration Date : 05/17/2007
Last Update Date : 08/22/2020

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Directions to “SPEECH AND LANGUAGE THERAPY SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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