Organization Name: | MIND THE GAP...BRIDGING COMMUNICATION AND MORE |
NPI Number: | 1881829778 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIA HERRELL (OWNER/SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 25115 Avenue Stanford Suite B-121 Valencia |
State: | CA US |
Postal Code: | 913551290 |
Phone Number: | 6612959696 |
Fax Number: | 6612953434 |
NPI Enumeration Date: | 05/20/2009 |
NPI Last Update Date: | 05/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 15024 |
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 |