| Organization Name: | SHORELINE SPEECH THERAPY AND LANGUAGE CENTER |
| NPI Number: | 1801285127 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MEGAN MCCORMICK (OWNER) |
| Mailing Address: | 2200 Pacific Coast Hwy Ste 210 Hermosa Beach |
| State: | CA US |
| Postal Code: | 902542757 |
| Phone Number: | 3107409493 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2015 |
| NPI Last Update Date: | 01/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 17199 |
| 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 |