Organization
INNOVATIVE SPEECH THERAPY ASSOCIATES, INC.
Active
Other names
Innovative Therapy Associates, inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RIK D MIDDLETON (CHIEF OPERATING OFFICER)
(818) 783-5168
Entity
Organization
Contact information
Practice address
13400 RIVERSIDE DR, SUITE 208, SHERMAN OAKS, CA 91423-2500
(818) 783-5168
(818) 783-6176
Mailing address
13400 RIVERSIDE DR, SUITE 208, SHERMAN OAKS, CA 91423-2500
(818) 783-5168
(818) 783-6176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP6646
CA
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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