Provider Demographics
NPI:1780415927
Name:APA SPEECH THERAPY, INC.
Entity type:Organization
Organization Name:APA SPEECH THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:PREWITT
Authorized Official - Suffix:
Authorized Official - Credentials:SLPD-CCC/SLP
Authorized Official - Phone:323-924-9464
Mailing Address - Street 1:21241 VENTURA BLVD STE 295
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2128
Mailing Address - Country:US
Mailing Address - Phone:323-924-9464
Mailing Address - Fax:281-392-8239
Practice Address - Street 1:21241 VENTURA BLVD STE 295
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2128
Practice Address - Country:US
Practice Address - Phone:323-924-9464
Practice Address - Fax:281-392-8239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty