Healthcare Provider Details

I. General information

NPI: 1528525334
Provider Name (Legal Business Name): HARMONY SPEECH THERAPY & DIAGNOSTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2019
Last Update Date: 04/08/2021
Certification Date: 04/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 ARDEN AVE STE 240
GLENDALE CA
91203-1170
US

IV. Provider business mailing address

9939 MEMORY PARK
MISSION HILLS CA
91345-3018
US

V. Phone/Fax

Practice location:
  • Phone: 818-434-5120
  • Fax:
Mailing address:
  • Phone: 818-434-5120
  • Fax: 818-572-4525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. LUSINE L BALIAN
Title or Position: CO-FOUNDER, CEO
Credential: SLP
Phone: 818-434-5120