MEDICARE: VALERIE ELISE BECHTOLD MS, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	30835	CA

General Provider Information

NPI Number	:	1013796606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE ELISE BECHTOLD MS, CCC-SLP

Provider Business Mailing Address
First Line	:	1535 6TH ST APT 207
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90401-2515
Country	:	US
Telephone Number	:	732-754-8593
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 CENTINELA AVE
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90302-3215
Country	:	US
Telephone Number	:	310-674-4500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2023
Last Update Date	:	09/25/2023

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Directions to “ VALERIE ELISE BECHTOLD MS, CCC-SLP” Practice Location

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