Provider Demographics
NPI:1073242236
Name:MONUMENTAL EDUCATIONAL AND THERAPETIC SERVICES
Entity Type:Organization
Organization Name:MONUMENTAL EDUCATIONAL AND THERAPETIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRITTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRINCE
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-SLP
Authorized Official - Phone:818-308-5670
Mailing Address - Street 1:6300 VARIEL AVE APT 414
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-7772
Mailing Address - Country:US
Mailing Address - Phone:202-702-1882
Mailing Address - Fax:
Practice Address - Street 1:6300 VARIEL AVE APT 414
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-7772
Practice Address - Country:US
Practice Address - Phone:202-702-1882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-05
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty