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Organization

SPEECH WITH US

Active
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Organization

SPEECH WITH US

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS MASTANEH NASSI CCC-SLP (OWNER)
(310) 666-7413
Entity
Organization

Contact information

Practice address
121 N LE DOUX RD, BEVERLY HILLS, CA 90211-2210
(310) 666-7413
Mailing address
121 N LE DOUX RD, BEVERLY HILLS, CA 90211-2210

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19111
CA

Other

Enumeration date
11/10/2016
Last updated
11/10/2016
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