Doctor Name: | SONAL PATHAK |
NPI Number: | 1184990822 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | SP19658 |
Business Practice Address: | 706 N Diamond Bar Blvd Ste B Diamond Bar, CA - 917651059 |
Business Phone Number: | 9098613423 |
Business Fax Number: | |
Mailing Address: | 6375 Green Valley Cir Unit 306, CULVER CITY |
State: | CA |
Postal Code: | 902308058 |
Phone Number: | 3106999484 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2012 |
NPI Last Update Date: | 03/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP19658 |
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 |