Provider Demographics
NPI:1467125195
Name:CHAT ROOM SPEECH-LANGUAGE PATHOLOGY APC
Entity Type:Organization
Organization Name:CHAT ROOM SPEECH-LANGUAGE PATHOLOGY APC
Other - Org Name:THE CHAT ROOM THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:VICKI CHIA HUI
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:818-823-8022
Mailing Address - Street 1:2100 MONTROSE AVE # 311
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1508
Mailing Address - Country:US
Mailing Address - Phone:818-823-8022
Mailing Address - Fax:
Practice Address - Street 1:2100 MONTROSE AVE # 311
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1508
Practice Address - Country:US
Practice Address - Phone:818-823-8022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty