Doctor Name: | MAUREEN FACHLER |
NPI Number: | 1225267875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 14472 |
Business Practice Address: | 1111 W 6th St Suite 111 Los Angeles, CA - 900171800 |
Business Phone Number: | 3234041027 |
Business Fax Number: | 3233408298 |
Mailing Address: | 625 Fair Oaks Ave, Suite 200 SOUTH PASADENA |
State: | CA |
Postal Code: | 910302630 |
Phone Number: | 3233415580 |
Fax Number: | 3233408298 |
NPI Enumeration Date: | 07/03/2009 |
NPI Last Update Date: | 07/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 14472 |
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 |