Provider Demographics
NPI:1801608898
Name:MEYEROWITZ, KYLE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:
Last Name:MEYEROWITZ
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6475 RANDI AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91303-2517
Mailing Address - Country:US
Mailing Address - Phone:310-403-0777
Mailing Address - Fax:
Practice Address - Street 1:6475 RANDI AVE
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91303-2517
Practice Address - Country:US
Practice Address - Phone:310-403-0777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11024235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist