Doctor Name: | MS. BRENDA CAPOBRES VILLEGAS |
NPI Number: | 1154631141 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SP9143 |
Business Practice Address: | 1520 San Pablo St Suite 4600 Los Angeles, CA - 900335310 |
Business Phone Number: | 3234425790 |
Business Fax Number: | 3234425820 |
Mailing Address: | 1520 San Pablo St, Suite 4600 LOS ANGELES |
State: | CA |
Postal Code: | 900335310 |
Phone Number: | 3234425790 |
Fax Number: | 3234425820 |
NPI Enumeration Date: | 10/08/2010 |
NPI Last Update Date: | 10/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP9143 |
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 |