MEDICARE: CHATTERBOX SPEECH PATHOLOGY, 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
1	2355S0801X	Speech-Language Assistant
2	224Z00000X	Occupational Therapy Assistant
3	225X00000X	Occupational Therapist
4	235Z00000X	Speech-Language Pathologist	17959	CA

General Provider Information

NPI Number	:	1790266054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHATTERBOX SPEECH PATHOLOGY, INC

Provider Business Mailing Address
First Line	:	3722 KATELLA AVE STE C
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-3102
Country	:	US
Telephone Number	:	562-270-2970
Fax Number	:	562-685-0621

Provider Business Practice Location Address
First Line	:	3722 KATELLA AVE STE C
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720
Country	:	US
Telephone Number	:	562-270-2970
Fax Number	:

Authorized Official
Title or Position	:	SPEECH PATHOLOGIST/PRESIDENT
Name	:	AMY REEVES
Credential	:	MS, CCC-SLP
Telephone Number	:	310-953-8003

Provider Enumeration Date	:	08/24/2018
Last Update Date	:	01/23/2026

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