| Organization Name: | WINGS SPEECH AND LANGUAGE CENTER INC |
| NPI Number: | 1962895532 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELA JEAN BENES (DIRECTOR/OWNER) |
| Mailing Address: | 1500 S Haven Ave Suite 190 Ontario |
| State: | CA US |
| Postal Code: | 917612969 |
| Phone Number: | 9093901313 |
| Fax Number: | 9093901311 |
| NPI Enumeration Date: | 03/06/2015 |
| NPI Last Update Date: | 03/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 16940 |
| 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 |