Provider Demographics
NPI:1497378236
Name:ALBURNUM APSLPC
Entity Type:Organization
Organization Name:ALBURNUM APSLPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, SPEECH-LANGUAGE PATH
Authorized Official - Prefix:
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-946-4157
Mailing Address - Street 1:321 N PASS AVE # 8
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-3859
Mailing Address - Country:US
Mailing Address - Phone:818-946-4157
Mailing Address - Fax:
Practice Address - Street 1:838 N EVERGREEN ST
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2711
Practice Address - Country:US
Practice Address - Phone:818-946-4157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty