# CORPORATE COMMUNICOLOGY SOLUTIONS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Provenance Speech and Language solutions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477881274
- **Authorized official:** MS. DOROTHY M POLITE MA, CCC-SLP (PRESIDENT)
- **Authorized official phone:** (310) 566-7479

## Contact information

- **Practice address:** 13101 W WASHINGTON BLVD, STE. 130, LOS ANGELES, CA 90066-5131
- **Practice address phone:** (310) 566-7479
- **Practice address fax:** (310) 566-7487
- **Mailing address:** 13428 MAXELLA AVE, STE. 130, MARINA DEL REY, CA 90292-5620
- **Mailing address phone:** (310) 566-7479
- **Mailing address fax:** (310) 566-7487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 12871 | CA | Yes |

## Other

- **Enumeration date:** 12/07/2009
- **Last updated:** 07/20/2010