| Doctor Name: | JOHANNE VAVAL |
| NPI Number: | 1326370768 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA.CCC SLP |
| License Number: | SP15037 |
| Business Practice Address: | 3734 W Slauson Ave Los Angeles, CA - 900432933 |
| Business Phone Number: | 3235844122 |
| Business Fax Number: | 3106956362 |
| Mailing Address: | 400 Corporate Pointe, Suite 300 CULVER CITY |
| State: | CA |
| Postal Code: | 902307615 |
| Phone Number: | 3102428929 |
| Fax Number: | 3106956362 |
| NPI Enumeration Date: | 02/10/2010 |
| NPI Last Update Date: | 02/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP15037 |
| 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 |