Doctor Name: | THERESA Q LIMTIACO |
NPI Number: | 1154352177 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SP |
License Number: | SP7549 |
Business Practice Address: | 300 Medical Plz Los Angeles, CA - 900950001 |
Business Phone Number: | 3108259989 |
Business Fax Number: | |
Mailing Address: | 5767 W Century Blvd, Suite 200 LOS ANGELES |
State: | CA |
Postal Code: | 900455632 |
Phone Number: | 3103018708 |
Fax Number: | 3103018751 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 08/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP7549 |
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 |