Provider Demographics
NPI:1922323153
Name:BJ STROMMEN HEALTHCARE ASSOCIATES INC.
Entity Type:Organization
Organization Name:BJ STROMMEN HEALTHCARE ASSOCIATES INC.
Other - Org Name:NEURO TRANSITIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BELCHE
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SP
Authorized Official - Phone:626-357-6007
Mailing Address - Street 1:136 VISTA CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:SIERRA MADRE
Mailing Address - State:CA
Mailing Address - Zip Code:91024
Mailing Address - Country:US
Mailing Address - Phone:626-357-6007
Mailing Address - Fax:626-357-1427
Practice Address - Street 1:124 W. OLIVE AVENUE
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016
Practice Address - Country:US
Practice Address - Phone:626-357-6007
Practice Address - Fax:626-357-1427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP8541235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty