Organization Name: | PEDIATRIC THERAPY OF SANTA CLARITA |
NPI Number: | 1295882884 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LIZABETH JEAN BUNKELL (PROGRAM DIRECTOR OWNER) |
Mailing Address: | 26639 Valley Center Dr Suite 101 Santa Clarita |
State: | CA US |
Postal Code: | 913512357 |
Phone Number: | 6612541842 |
Fax Number: | 6612541862 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 11/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |