Organization Name: | INNOVATIVE SPEECH THERAPY ASSOCIATES, INC. |
NPI Number: | 1578697959 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RIK D MIDDLETON (CHIEF OPERATING OFFICER) |
Mailing Address: | 13400 Riverside Dr Suite 208 Sherman Oaks |
State: | CA US |
Postal Code: | 914232500 |
Phone Number: | 8187835168 |
Fax Number: | 8187836176 |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP6646 |
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 |