Provider Demographics
NPI:1649936493
Name:TAMAR BARAZANI SPEECH CLINIC
Entity type:Organization
Organization Name:TAMAR BARAZANI SPEECH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:BARAZANI
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:818-268-7548
Mailing Address - Street 1:18321 VENTURA BLVD STE 315
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-6434
Mailing Address - Country:US
Mailing Address - Phone:818-268-7548
Mailing Address - Fax:
Practice Address - Street 1:18321 VENTURA BLVD STE 315
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-6434
Practice Address - Country:US
Practice Address - Phone:818-268-7548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty