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Stacy Payne Speech Pathology, Inc
Hearing and Speech Clinic/Center in Los Angeles, California
NPI 1144510413

Stacy Payne Speech Pathology, Inc is a Hearing and Speech Clinic/Center based in Los Angeles, CA and is specialized in Hearing and Speech. Stacy Payne Speech Pathology, Inc practices in Los Angeles, CA. The NPI Number for Stacy Payne Speech Pathology, Inc is 1144510413 and holds a License No. SP9299 (California).

The current practice location address for Stacy Payne Speech Pathology, Inc is 11965 Venice Blvd Ste 404, Los Angeles, CA and can be reached out via phone at 310-562-0187 and via fax at 310-566-7697.

Location: 11965 Venice Blvd Ste 404, Los Angeles, CA, 90066-3978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144510413
Provider Name
Stacy Payne Speech Pathology, Inc
Credential
Provider Entity Type
Organization
Address
11965 Venice Blvd Ste 404, Los Angeles, CA, 90066-3978
Phone Number
310-562-0187
Fax Number
310-566-7697
Provider Enumeration Date
04/07/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11965 Venice Blvd Ste 404
City
Los Angeles
State
California
Zip
90066-3978
Phone Number
310-562-0187
Fax Number
310-566-7697
person
Provider Business Mailing Address Details
Address
11965 Venice Blvd Ste 404
City
Los Angeles
State
California
Zip
90066-3978
Phone Number
310-562-0187
Fax Number
310-566-7697
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Hearing and Speech
Taxonomy
261QH0700X
License No.
SP9299 (California)
Definition
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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