Organization Name: | MAHAAN REHAB. SERVICES INC |
NPI Number: | 1508016759 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HAAN J ELLING (PRESIDENT) |
Mailing Address: | 825 Webster St C Fairfield |
State: | CA US |
Postal Code: | 945335522 |
Phone Number: | 7077180151 |
Fax Number: | 7076378152 |
NPI Enumeration Date: | 09/24/2008 |
NPI Last Update Date: | 10/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9664 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |