Organization · Type 2 NPI
Stacy Payne Speech Pathology, Inc
Hearing and Speech Clinic/Center · Los Angeles, CA
NPI number
1144510413
Active
Practice location
11965 Venice Blvd Ste 404
Los Angeles, CA 90066-3978
Fax (310) 566-7697
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hearing and Speech Clinic/Center Primary | 261QH0700X | SP9299 (CA) |
Hearing and Speech Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
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About NPI 1144510413
Stacy Payne Speech Pathology, Inc's National Provider Identifier is 1144510413, issued on Apr 7, 2011. The primary taxonomy on file is Hearing and Speech Clinic/Center (261QH0700X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 7, 2011.