Healthcare Provider Details

I. General information

NPI: 1720739758
Provider Name (Legal Business Name): BELL SPEECH PATHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2022
Last Update Date: 01/11/2022
Certification Date: 01/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20717 SOUTH ST STE D
TEHACHAPI CA
93561-6444
US

IV. Provider business mailing address

18340 SULKY LN
TEHACHAPI CA
93561-5280
US

V. Phone/Fax

Practice location:
  • Phone: 661-750-7848
  • Fax:
Mailing address:
  • Phone: 760-662-6217
  • 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: BRIANA BELL
Title or Position: OWNER/SPEECH-LANGUAGE PATHOLOGIST
Credential: M.S. CF-SLP
Phone: 661-750-7848