| Speech Therapy And Beyond Inc | |
|
5210 Lewis Rd Ste 7 Agoura Hills CA 91301-2662 | |
| (818) 312-1596 | |
| Not Available |
| Full Name | Speech Therapy And Beyond Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5210 Lewis Rd Ste 7, Agoura Hills, California |
| Authorized Official Name and Position | Padideh Anvari (PRESIDENT) |
| Authorized Official Contact | 8183121596 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Speech Therapy And Beyond Inc 5210 Lewis Rd Ste 7 Agoura Hills CA 91301-2662 Ph: (818) 312-1596 | Speech Therapy And Beyond Inc 5210 Lewis Rd Ste 7 Agoura Hills CA 91301-2662 Ph: (818) 312-1596 |
| NPI Number | 1013654201 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 05/18/2022 |
| Medicare PECOS PAC ID | 0143600296 |
|---|---|
| Medicare Enrollment ID | O20221111000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013654201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Padideh Anvari |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821141946 PECOS PAC ID: 6901273598 Enrollment ID: I20221111000535 |
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