Organization
CORPORATE COMMUNICOLOGY SOLUTIONS, INC.
Active
Other names
Provenance Speech and Language solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY M POLITE MA, CCC-SLP (PRESIDENT)
(310) 566-7479
Entity
Organization
Contact information
Practice address
13101 W WASHINGTON BLVD, STE. 130, LOS ANGELES, CA 90066-5131
(310) 566-7479
(310) 566-7487
Mailing address
13428 MAXELLA AVE, STE. 130, MARINA DEL REY, CA 90292-5620
(310) 566-7479
(310) 566-7487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12871
CA
Other
Enumeration date
12/07/2009
Last updated
07/20/2010
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