Healthcare Provider Details

I. General information

NPI: 1437079043
Provider Name (Legal Business Name): LITERACY & SPEECH-LANGUAGE PATHOLOGY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11980 SAN VICENTE BLVD STE 805
LOS ANGELES CA
90049-6606
US

IV. Provider business mailing address

11980 SAN VICENTE BLVD STE 805
LOS ANGELES CA
90049-6606
US

V. Phone/Fax

Practice location:
  • Phone: 202-412-7644
  • Fax:
Mailing address:
  • Phone:
  • 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: GRACE JOHNSTON
Title or Position: CEO
Credential: CCC-SLP
Phone: 202-412-7644