Doctor Name: | PHYLLIS JOY LAZAR |
NPI Number: | 1912069014 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 9924 |
Business Practice Address: | 6400 Laurel Canyon Blvd Ste 400 North Hollywood, CA - 916061559 |
Business Phone Number: | 8187630136 |
Business Fax Number: | 8187633838 |
Mailing Address: | 14709 Valley Vista Blvd, SHERMAN OAKS |
State: | CA |
Postal Code: | 914034114 |
Phone Number: | 8187885503 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9924 |
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 |