Organization Name: | DR. ALICIA A. ELLIOTT SPEECH PATHOLOGY, INC. |
NPI Number: | 1144508599 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALICIA A. ELLIOTT (DIRECTOR/SPEECH PATHOLOGIST) |
Mailing Address: | 2506 Foothill Blvd La Crescenta |
State: | CA US |
Postal Code: | 912143506 |
Phone Number: | 8182363603 |
Fax Number: | 8182362106 |
NPI Enumeration Date: | 08/02/2011 |
NPI Last Update Date: | 08/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4207 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |