Organization Name: | GENESIS SPEECH AND LANGUAGE ASSOCIATES INC |
NPI Number: | 1043311533 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIANNE ELIZABETH WEBER (DIRECTOR, SPEECHLANGUAGEPATHOLOGIST) |
Mailing Address: | 2605 E Foothill Blvd Glendora |
State: | CA US |
Postal Code: | 917404003 |
Phone Number: | 6269638080 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 06/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |