Healthcare Provider Details

I. General information

NPI: 1821909367
Provider Name (Legal Business Name): A LINGUISTICS LABORATORY SPEECH LANGUAGE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 HAVANA AVE
LONG BEACH CA
90804-4466
US

IV. Provider business mailing address

817 HAVANA AVE
LONG BEACH CA
90804-4466
US

V. Phone/Fax

Practice location:
  • Phone: 562-485-4281
  • Fax:
Mailing address:
  • Phone: 562-485-4281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. JACKIE O'DAY
Title or Position: CLINIC DIRECTOR
Credential: M.S., CCC-SLP
Phone: 562-485-4281