Healthcare Provider Details

I. General information

NPI: 1457260432
Provider Name (Legal Business Name): LIFESPAN INTEGRATED FAMILY TREATMENT SPEECH PATHOLOGY, APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 E 7TH ST APT 1
LONG BEACH CA
90813-4945
US

IV. Provider business mailing address

1331 E 7TH ST APT 1
LONG BEACH CA
90813-4945
US

V. Phone/Fax

Practice location:
  • Phone: 562-388-0871
  • Fax:
Mailing address:
  • Phone: 562-388-0871
  • 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: SHARLENE MELINDA JAMES
Title or Position: PRESIDENT
Credential: MS, CCC-SLP
Phone: 562-388-0871