Doctor Name: | MRS. KATY STENTON PECK-FROST |
NPI Number: | 1336271113 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 12534 |
Business Practice Address: | 4650 W Sunset Blvd Los Angeles, CA - 900276062 |
Business Phone Number: | 3236446372 |
Business Fax Number: | |
Mailing Address: | 519 Alabama St, 2 HUNTINGTON BEACH |
State: | CA |
Postal Code: | 926484948 |
Phone Number: | 7814709493 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12534 |
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 |