| Smile Pediatric Therapy & Diagnostics | |
|
3031 Beverly Blvd Ste B Los Angeles CA 90057-1013 | |
| (323) 747-5055 | |
| (213) 483-8537 |
| Full Name | Smile Pediatric Therapy & Diagnostics |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 3031 Beverly Blvd Ste B, Los Angeles, California |
| Authorized Official Name and Position | Danielle Nicole Hajjar (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 3237475055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Pediatric Therapy & Diagnostics 1639 Waterloo St Los Angeles CA 90026-2422 Ph: (323) 747-5055 | Smile Pediatric Therapy & Diagnostics 3031 Beverly Blvd Ste B Los Angeles CA 90057-1013 Ph: (323) 747-5055 |
| NPI Number | 1265663900 |
|---|---|
| Provider Enumeration Date | 07/29/2009 |
| Last Update Date | 05/16/2022 |
| Certification Date | 05/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265663900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | 14510 (California) | Primary |
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