Doctor Name: | NANCY BORELLI |
NPI Number: | 1689990855 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SP562 |
Business Practice Address: | 6400 Laurel Canyon Blvd Ste 600 North Hollywood, CA - 916061568 |
Business Phone Number: | 8187600500 |
Business Fax Number: | 8187633890 |
Mailing Address: | 6400 Laurel Canyon Blvd Ste 600, NORTH HOLLYWOOD |
State: | CA |
Postal Code: | 916061568 |
Phone Number: | 8187600500 |
Fax Number: | 8187633890 |
NPI Enumeration Date: | 04/13/2010 |
NPI Last Update Date: | 04/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP562 |
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 |