MEDICARE: MS. HARRIET LAUREL PEHDE MA, CCC

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
1	235Z00000X	Speech-Language Pathologist	SP3556	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316908361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HARRIET LAUREL PEHDE MA, CCC

Provider Business Mailing Address
First Line	:	12801 MEADOWLARK AVE
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-1210
Country	:	US
Telephone Number	:	818-366-2130
Fax Number	:	818-366-2130

Provider Business Practice Location Address
First Line	:	12801 MEADOWLARK AVE
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-1210
Country	:	US
Telephone Number	:	818-366-2130
Fax Number	:	818-366-2130

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	12/14/2025

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