Healthcare Provider Details

I. General information

NPI: 1942335500
Provider Name (Legal Business Name): HOUSE EAR INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 W 3RD ST
LOS ANGELES CA
90057-1922
US

IV. Provider business mailing address

2100 W 3RD ST
LOS ANGELES CA
90057-1922
US

V. Phone/Fax

Practice location:
  • Phone: 213-353-7005
  • Fax:
Mailing address:
  • Phone: 213-353-7005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP 11305
License Number StateCA

VIII. Authorized Official

Name: MRS. KATHLEEN MORRISON LEHNERT
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: M.S. CCC-SLP
Phone: 213-353-7005