Organization
GENESIS SPEECH AND LANGUAGE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIANNE ELIZABETH WEBER M.S.,CCC.,LICENSE SP (DIRECTOR, SPEECHLANGUAGEPATHOLOGIST)
(626) 963-8080
Entity
Organization
Contact information
Practice address
2605 E FOOTHILL BLVD, GLENDORA, CA 91740-4003
(626) 963-8080
Mailing address
2605 E FOOTHILL BLVD, GLENDORA, CA 91740-4003
(626) 963-8080
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
06/02/2009
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