Healthcare Provider Details

I. General information

NPI: 1134053515
Provider Name (Legal Business Name): KATHERINE SCHRYVER-STAHLY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 W 238TH ST
TORRANCE CA
90501-6116
US

IV. Provider business mailing address

PO BOX 2954
TORRANCE CA
90509-2954
US

V. Phone/Fax

Practice location:
  • Phone: 310-533-4480
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number12152
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: