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Organization
MELISSA PETERS SPEECH PATHOLOGY INC
Active
Organization
MELISSA PETERS SPEECH PATHOLOGY INC
Active
Other names
Speak Live Play
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA REVA PETERS SLP (DIRECTOR)
(424) 279-8379
Entity
Organization
Contact information
Practice address
2728 3RD ST APT 203, SANTA MONICA, CA 90405-4173
(424) 279-8379
Mailing address
PO BOX 10102, MARINA DEL REY, CA 90295-6102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
251E00000X
Home Health Agency
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
09/08/2020
Last updated
04/05/2021
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