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Organization
COSMIC SPEECH THERAPY PC
Active
Organization
COSMIC SPEECH THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEREN MALKA BERGER M.S. CCC-SLP (CEO AND OWNER)
(818) 527-5576
Entity
Organization
Contact information
Practice address
9700 RESEDA BLVD STE 208, NORTHRIDGE, CA 91324-5504
(818) 527-5576
Mailing address
9101 TOPANGA CANYON BLVD APT 239, CHATSWORTH, CA 91311-5764
(818) 527-5576
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NULL
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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