Individual provider · Type 1 NPI

Sivan Revivo

Speech-Language Pathologist · Woodland Hills, CA

NPI number 1235776071 Active

Practice location

19730 Ventura Blvd Ste 103B
Woodland Hills, CA 91364-2693

Mailing address

6300 Beeman Ave
North Hollywood, CA 91606-3123

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X27586 (CA)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1235776071

Sivan Revivo's National Provider Identifier is 1235776071, issued on Nov 27, 2019. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Woodland Hills, CA. The record was last updated on Nov 27, 2019.