Healthcare Provider Details

I. General information

NPI: 1053642595
Provider Name (Legal Business Name): PAZIT ABRAMOWICZ HERRERA CCC SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2010
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E CERRITOS AVE
GLENDALE CA
91205-3107
US

IV. Provider business mailing address

1600 N SAN FERNANDO BLVD APT 242
BURBANK CA
91504-4168
US

V. Phone/Fax

Practice location:
  • Phone: 818-244-7207
  • Fax:
Mailing address:
  • Phone: 914-439-6269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP 17891
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: