Provider Demographics
NPI:1649788712
Name:CASSI ALTER, LICENSED SPEECH LANGUAGE, A PROFESSIONAL ORGANIZATION
Entity type:Organization
Organization Name:CASSI ALTER, LICENSED SPEECH LANGUAGE, A PROFESSIONAL ORGANIZATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/LA SPEECH THERAPY SOLUTIONS
Authorized Official - Prefix:
Authorized Official - First Name:CASSI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTER
Authorized Official - Suffix:
Authorized Official - Credentials:MA-CCC
Authorized Official - Phone:323-522-6071
Mailing Address - Street 1:2836 W SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-2126
Mailing Address - Country:US
Mailing Address - Phone:323-522-6071
Mailing Address - Fax:323-272-6480
Practice Address - Street 1:2836 W SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-9002
Practice Address - Country:US
Practice Address - Phone:323-522-6071
Practice Address - Fax:323-522-6071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-11
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty