# COSMIC SPEECH THERAPY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588342455
- **Authorized official:** KEREN MALKA BERGER M.S. CCC-SLP (CEO AND OWNER)
- **Authorized official phone:** (818) 527-5576

## Contact information

- **Practice address:** 9700 RESEDA BLVD STE 208, NORTHRIDGE, CA 91324-5504
- **Practice address phone:** (818) 527-5576
- **Mailing address:** 9101 TOPANGA CANYON BLVD APT 239, CHATSWORTH, CA 91311-5764
- **Mailing address phone:** (818) 527-5576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2023
- **Last updated:** 07/10/2023