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General NPI Number Information
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NPI Number | 1497135214
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Entity Type | Organization
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Legal Business Name | LEARNING TREE THERAPY, INC
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Dates
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Enumeration Date | 06/06/2015
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Last Update Date | 04/19/2016
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Provider Practice Location Address
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Address Line | 5150 E VISTA HERMOSA ST
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City | LONG BEACH
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State | CA
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Zip | 90815-3932
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Country | US
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Telephone | 714-697-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 12371 LEWIS ST 202
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City | GARDEN GROVE
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State | CA
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Zip | 92840-4678
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Country | US
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Telephone | 714-697-3700
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Fax |
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST
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Name | MRS. KRISTEN CARTER
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Credential | M.S., CCC-SLP
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Telephone | 714-697-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | SP16142
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP16142
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License Number State | CA
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