Organization Name: | LITTLE SUNSHINE SPEECH CLINIC, LTD. |
NPI Number: | 1245634856 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TANDRA JANE CALDWELL (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 2347 Cordoza Ave Rowland Heights |
State: | CA US |
Postal Code: | 917484303 |
Phone Number: | 5624094779 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2014 |
NPI Last Update Date: | 09/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP19080 |
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 |