Organization
LIL' BLOOMERS SPEECH THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY ANDREW MS, CCC-SLP (OWNER / SPEECH LANGUAGE PATHOLOGIST)
(888) 545-2566
Entity
Organization
Contact information
Practice address
337 S BEVERLY DR, SUITE 107, BEVERLY HILLS, CA 90212-4315
(888) 545-2566
(888) 545-2566
Mailing address
337 S BEVERLY DR, SUITE 107, BEVERLY HILLS, CA 90212-4315
(888) 545-2566
(888) 545-2566
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
15011
CA
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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