MEDICARE: SPEECHSOCIAL 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	235Z00000X	Speech-Language Pathologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1558747998	OTHER	CA	SLP

General Provider Information

NPI Number	:	1861248890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECHSOCIAL INC

Provider Business Mailing Address
First Line	:	5135 COLDWATER CANYON AVE
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-1676
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1340 FOX ACRES DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-0511
Country	:	US
Telephone Number	:	818-802-0730
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	MIKAELA BEKMAN
Credential	:	MS,CCC-SLP
Telephone Number	:	818-802-0730

Provider Enumeration Date	:	04/29/2024
Last Update Date	:	01/09/2026

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Directions to “SPEECHSOCIAL INC ” Practice Location

Language	Start Address	Practice Location

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