Provider Demographics
NPI:1871865675
Name:ANAHEIM HILLS SPEECH & LANGUAGE CENTER. INC.
Entity Type:Organization
Organization Name:ANAHEIM HILLS SPEECH & LANGUAGE CENTER. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:MONTY
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC SLP
Authorized Official - Phone:714-282-8852
Mailing Address - Street 1:140 S CHAPARRAL CT
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-2239
Mailing Address - Country:US
Mailing Address - Phone:714-282-8852
Mailing Address - Fax:714-282-8876
Practice Address - Street 1:140 S CHAPARRAL CT
Practice Address - Street 2:SUITE 110
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92808-2239
Practice Address - Country:US
Practice Address - Phone:714-282-8852
Practice Address - Fax:714-282-8876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-08
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP6398235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty