Organization Name: | JANE HADDAD |
NPI Number: | 1366775306 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANE HADDAD STUART (SPECH PATHOLOGIST) |
Mailing Address: | 4720 E 2nd St Suite 1 Long Beach |
State: | CA US |
Postal Code: | 908035311 |
Phone Number: | 5624396244 |
Fax Number: | 5624386244 |
NPI Enumeration Date: | 09/09/2009 |
NPI Last Update Date: | 09/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP9815 |
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 |