| Organization Name: | CHILD SUCCESS CENTER |
| NPI Number: | 1740515527 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELISSA IDELSON (DIRECTOR) |
| Mailing Address: | 828 Pico Blvd Ste 7 Santa Monica |
| State: | CA US |
| Postal Code: | 904051350 |
| Phone Number: | 3108999597 |
| Fax Number: | 3109432258 |
| NPI Enumeration Date: | 10/12/2009 |
| NPI Last Update Date: | 10/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 13902 |
| 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 |