Provider Demographics
NPI:1801625447
Name:SUMMIT LEARNING
Entity type:Organization
Organization Name:SUMMIT LEARNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EDUCATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:BCET, MA
Authorized Official - Phone:503-330-1075
Mailing Address - Street 1:2211 CORINTH AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-1621
Mailing Address - Country:US
Mailing Address - Phone:503-330-1075
Mailing Address - Fax:
Practice Address - Street 1:2211 CORINTH AVE STE 207
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-1621
Practice Address - Country:US
Practice Address - Phone:503-330-1075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities