Healthcare Provider Details

I. General information

NPI: 1881332567
Provider Name (Legal Business Name): HUES SPEECH THERAPY SERVICES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2022
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7160 N ATLANTIC PL
LONG BEACH CA
90805-1040
US

IV. Provider business mailing address

7160 N ATLANTIC PL
LONG BEACH CA
90805-1040
US

V. Phone/Fax

Practice location:
  • Phone: 213-577-0121
  • Fax:
Mailing address:
  • Phone: 562-314-7174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SHAQUILLE COOPER
Title or Position: OWNER
Credential: M.S. CCC-SLP
Phone: 562-314-7174