1952698409 NPI number — EXCEL SPEECH AND LANGUAGE, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952698409 NPI number — EXCEL SPEECH AND LANGUAGE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EXCEL SPEECH AND LANGUAGE, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952698409
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/06/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9729 ODESSA AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH HILLS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91343
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-554-1457
Provider Business Mailing Address Fax Number:
818-401-0576

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10315 WOODLEY AVE
Provider Second Line Business Practice Location Address:
STE 111
Provider Business Practice Location Address City Name:
GRANADA HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-554-1457
Provider Business Practice Location Address Fax Number:
818-401-0576
Provider Enumeration Date:
07/06/2011

Additional Information

Authorized Official

Authorized Official Last Name:
FAIMAN
Authorized Official First Name:
NATALIE
Authorized Official Middle Name:
J
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
818-554-1457

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  SP12816 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com