Provider Demographics
NPI:1851043368
Name:MAXTOPS SPEECH THERAPY CORPORATION
Entity Type:Organization
Organization Name:MAXTOPS SPEECH THERAPY CORPORATION
Other - Org Name:MAXTOPS THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:TAK NIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:785-979-1967
Mailing Address - Street 1:4075 E LIVE OAK AVE STE B
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-5751
Mailing Address - Country:US
Mailing Address - Phone:785-979-1967
Mailing Address - Fax:
Practice Address - Street 1:4075 E LIVE OAK AVE STE B
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-5751
Practice Address - Country:US
Practice Address - Phone:785-979-1967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-25
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty