Healthcare Provider Details

I. General information

NPI: 1790266054
Provider Name (Legal Business Name): CHATTERBOX SPEECH PATHOLOGY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2018
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3722 KATELLA AVE STE C
LOS ALAMITOS CA
90720
US

IV. Provider business mailing address

3722 KATELLA AVE STE C
LOS ALAMITOS CA
90720-3102
US

V. Phone/Fax

Practice location:
  • Phone: 562-270-2970
  • Fax:
Mailing address:
  • Phone: 562-270-2970
  • Fax: 562-685-0621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number17959
License Number StateCA

VIII. Authorized Official

Name: AMY REEVES
Title or Position: SPEECH PATHOLOGIST/PRESIDENT
Credential: MS, CCC-SLP
Phone: 562-507-1770