Doctor Name: | DOROTHY M. POLITE |
NPI Number: | 1366597072 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 12871 |
Business Practice Address: | 13101 W Washington Blvd Suite 130 Los Angeles, CA - 900665131 |
Business Phone Number: | 3105667479 |
Business Fax Number: | 3105667487 |
Mailing Address: | 13101 W Washington Blvd, Suite 130 LOS ANGELES |
State: | CA |
Postal Code: | 900665131 |
Phone Number: | 3105667479 |
Fax Number: | 3105667487 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 04/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12871 |
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 |