Provider Demographics
NPI:1437448735
Name:ELKINS, RANDI (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:RANDI
Middle Name:
Last Name:ELKINS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16830 VENTURA BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1707
Mailing Address - Country:US
Mailing Address - Phone:818-693-6544
Mailing Address - Fax:
Practice Address - Street 1:16830 VENTURA BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1707
Practice Address - Country:US
Practice Address - Phone:818-693-6544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18516235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist