Provider Demographics
NPI:1093092702
Name:SCHEFLEN SPEECH-LANGUAGE PATHOLOGY, INC.
Entity Type:Organization
Organization Name:SCHEFLEN SPEECH-LANGUAGE PATHOLOGY, INC.
Other - Org Name:SSLP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:CLIFFORD
Authorized Official - Last Name:SCHEFLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:877-477-5746
Mailing Address - Street 1:530 WILSHIRE BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-1427
Mailing Address - Country:US
Mailing Address - Phone:877-477-5746
Mailing Address - Fax:877-477-5746
Practice Address - Street 1:530 WILSHIRE BLVD STE 204
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-1427
Practice Address - Country:US
Practice Address - Phone:877-477-5746
Practice Address - Fax:877-477-5746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 13706235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty