MEDICARE: HUES SPEECH THERAPY SERVICES CORPORATION

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	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1881332567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUES SPEECH THERAPY SERVICES CORPORATION

Provider Business Mailing Address
First Line	:	7160 N ATLANTIC PL
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90805-1040
Country	:	US
Telephone Number	:	562-314-7174
Fax Number	:

Provider Business Practice Location Address
First Line	:	7160 N ATLANTIC PL
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90805-1040
Country	:	US
Telephone Number	:	213-577-0121
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SHAQUILLE COOPER
Credential	:	M.S. CCC-SLP
Telephone Number	:	562-314-7174

Provider Enumeration Date	:	05/23/2022
Last Update Date	:	05/20/2026

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