Provider Demographics
NPI:1033415138
Name:A1 SPEECH THERAPY, INC.
Entity Type:Organization
Organization Name:A1 SPEECH THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARSOUMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:805-443-0788
Mailing Address - Street 1:400 CAMARILLO RANCH RD
Mailing Address - Street 2:SUITE #209
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-5901
Mailing Address - Country:US
Mailing Address - Phone:805-443-0788
Mailing Address - Fax:805-512-7158
Practice Address - Street 1:400 CAMARILLO RANCH RD
Practice Address - Street 2:SUITE #209
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-5901
Practice Address - Country:US
Practice Address - Phone:805-443-0788
Practice Address - Fax:805-512-7158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech