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NPI Code Detail

MEDICARE: COMMUNICOLOGY, INC.

MEDICARE: COMMUNICOLOGY, INC.
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1548891062
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNICOLOGY, INC.
Provider Business Mailing Address
First Line : 2434 5TH ST APT 202
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-3730
Country : US
Telephone Number : 310-795-4820
Fax Number :
Provider Business Practice Location Address
First Line : 2434 5TH ST APT 202
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-3730
Country : US
Telephone Number : 310-795-4820
Fax Number :
Authorized Official
Title or Position : CEO
Name : MELISSA MILLER
Credential : M.A. CCC/SLP
Telephone Number : 310-795-4820
Provider Enumeration Date : 02/03/2020
Last Update Date : 02/03/2020

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Directions to “COMMUNICOLOGY, INC. ” Practice Location

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