Provider Demographics
NPI:1255854162
Name:SPEJCHER, BRYN PEARCE (AUD)
Entity Type:Individual
Prefix:DR
First Name:BRYN
Middle Name:PEARCE
Last Name:SPEJCHER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:BRYN
Other - Middle Name:PEARCE
Other - Last Name:SPEJCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:5767 W CENTURY BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:630-639-8306
Mailing Address - Fax:
Practice Address - Street 1:2100 W 3RD ST STE 100
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-1971
Practice Address - Country:US
Practice Address - Phone:213-353-7005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3215231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist