| Organization Name: | MCRORY PEDIATRIC SERVICES |
| NPI Number: | 1366701542 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL MCRORY (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 17609 Ventura Blvd 215 Encino |
| State: | CA US |
| Postal Code: | 913163858 |
| Phone Number: | 8185018352 |
| Fax Number: | 8185018325 |
| NPI Enumeration Date: | 05/09/2012 |
| NPI Last Update Date: | 05/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP16440 |
| 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 |