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NPI Code Detail

MEDICARE: LYNNE ALBA SPEECH THERAPY, P. C.

MEDICARE: LYNNE ALBA SPEECH THERAPY, P. C.
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 PathologistAP 6533CA

General Provider Information

NPI Number : 1851615306
Entity Type Code : Organization
Provider Name (Legal Business Name) : LYNNE ALBA SPEECH THERAPY, P. C.
Provider Business Mailing Address
First Line : 6059 LOYNES DR
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-2331
Country : US
Telephone Number : 310-856-8528
Fax Number : 310-856-8532
Provider Business Practice Location Address
First Line : 3521 LOMITA BLVD
Second Line : SUITE 102
City : TORRANCE
State : CA
Zip : 90505-5039
Country : US
Telephone Number : 310-856-8528
Fax Number : 310-856-8532
Authorized Official
Title or Position : PRESIDENT
Name : MS. LYNNE GOWER ALBA
Credential : MA, CCC-SLP
Telephone Number : 310-856-8528
Provider Enumeration Date : 03/25/2010
Last Update Date : 03/25/2010

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Directions to “LYNNE ALBA SPEECH THERAPY, P. C. ” Practice Location

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