Provider Demographics
NPI:1609403393
Name:NEST SPEECH AND LANGUAGE THERAPY
Entity Type:Organization
Organization Name:NEST SPEECH AND LANGUAGE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:VANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHDJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-599-7828
Mailing Address - Street 1:625 HAWTHORNE ST
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-1001
Mailing Address - Country:US
Mailing Address - Phone:818-599-7828
Mailing Address - Fax:
Practice Address - Street 1:625 HAWTHORNE ST
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-1001
Practice Address - Country:US
Practice Address - Phone:818-599-7828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-24
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty