Provider Demographics
NPI:1326587395
Name:PLAY & TALK BILINGUAL THERAPY SPEECH THERAPY INC.
Entity Type:Organization
Organization Name:PLAY & TALK BILINGUAL THERAPY SPEECH THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARICARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGELES SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:MA;CCC-SLP
Authorized Official - Phone:917-907-4833
Mailing Address - Street 1:2233 HONOLULU AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1635
Mailing Address - Country:US
Mailing Address - Phone:917-907-4833
Mailing Address - Fax:
Practice Address - Street 1:2233 HONOLULU AVE STE 202
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1635
Practice Address - Country:US
Practice Address - Phone:917-907-4833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP18847261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech