| Organization Name: | PARADISE SPEECH CLINIC LLC |
| NPI Number: | 1649638305 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RADNA TALITA SHAVER-SCHENKER (SPEECH AND LANGUAGE PATHOLOGY ASST) |
| Mailing Address: | 18103 Sky Park Cir Suite A Irvine |
| State: | CA US |
| Postal Code: | 926146512 |
| Phone Number: | 9495730873 |
| Fax Number: | |
| NPI Enumeration Date: | 02/09/2016 |
| NPI Last Update Date: | 03/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| 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 |