Healthcare Provider Details
I. General information
NPI: 1801749981
Provider Name (Legal Business Name): LIGHT OF THE WORLD SPEECH THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/18/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1050 LAKES DR STE 225
WEST COVINA CA
91790-2910
US
IV. Provider business mailing address
1050 LAKES DR STE 225
WEST COVINA CA
91790-2910
US
V. Phone/Fax
- Phone: 626-587-7522
- Fax:
- Phone: 626-587-7522
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARLENE
MARIE
BARRETO
Title or Position: CEO
Credential: M.S., CCC-SLP
Phone: 626-587-7522