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Organization
MAZDA SPEECH-LANGUAGE-DEVELOPMENT CENTER
Active
Organization
MAZDA SPEECH-LANGUAGE-DEVELOPMENT CENTER
Active
Other names
Mazda Infant-Toddler Development Program
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PERVEEN M. KATRACK CCC-SLP (OWNER)
(661) 481-0872
Entity
Organization
Contact information
Practice address
23734 VALENCIA BLVD., SUITE 304, VALENCIA, CA 91355
(661) 481-0872
(661) 481-0723
Mailing address
23734 VALENCIA BLVD., SUITE 304, VALENCIA, CA 91355
(661) 481-0872
(661) 481-0723
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-15203
CA
252Y00000X
Early Intervention Provider Agency
15203
CA
Other
Enumeration date
09/28/2012
Last updated
09/30/2014
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