Organization
B EXPRESSIVE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA RENA DEADWYLER LIC. MHSCCCSLP (CEO/SPEECH PATHOLOGIST)
(310) 766-4747
Entity
Organization
Contact information
Practice address
6601 CENTER DR W, STE. #540, LOS ANGELES, CA 90045-1582
(310) 766-4747
(310) 337-1379
Mailing address
6601 CENTER DR W, STE. #540, LOS ANGELES, CA 90045-1582
(310) 766-4747
(310) 337-1379
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP8247
CA
261QH0700X
Hearing and Speech Clinic/Center
SP8247
CA
Other
Enumeration date
07/09/2011
Last updated
07/09/2011
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