| Organization Name: | EXPRESSIONS SPEECH LANGUAGE PATHOLOGY SERVICES INC |
| NPI Number: | 1689893075 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIN M DENSMORE (CO-DIRECTOR, CFO) |
| Mailing Address: | 12062 Valley View St Suite 137 Garden Grove |
| State: | CA US |
| Postal Code: | 928451737 |
| Phone Number: | 7149011518 |
| Fax Number: | 7149011359 |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 05/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2857447 |
| 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 |