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RAVEN SPEECH THERAPY NPI 1457930216


NPI Information

NPI: 1457930216
Provider Name: RAVEN SPEECH THERAPY
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
21733 VISTA RD
CEDARPINES PARK, CA
ZIP 92322
Phone: (714) 588-3637
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RAVEN SPEECH THERAPY is a speech language pathologist in Cedarpines Park, CA. The provider is 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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. RAVEN SPEECH THERAPY NPI is 1457930216. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21733 VISTA RD
CEDARPINES PARK, CA
ZIP 92322-232
Phone: (714) 588-3637

The provider's authorized official is Marcoa Maisha Brownlee .
The authorized official title is Ceo/owner and has the following contact phone number (714) 588-3637.

The enumeration date for this NPI number is 4/7/2021 and was last updated on 4/7/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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