Organization Name: | LV SPEECH THERAPY GROUP, INC. |
NPI Number: | 1801241583 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAMON PAPPO (OWNER) |
Mailing Address: | 3620 Long Beach Blvd Ste A1 Long Beach |
State: | CA US |
Postal Code: | 908076014 |
Phone Number: | 3109307491 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2016 |
NPI Last Update Date: | 04/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 18817 |
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 |