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Organization

INNOVATIVE SPEECH & LANGUAGE PATHOLOGY INC

Active
Other names
Omix Therapies
Organization subpart
No

Provider details

NPI number
Authorized official
ODELIA MIRZADEH SLP (SEO)
(310) 659-9511
Entity
Organization

Contact information

Practice address
8501 WILSHIRE BLVD STE 336, BEVERLY HILLS, CA 90211-3134
(310) 659-9511
(818) 697-9319
Mailing address
8501 WILSHIRE BLVD STE 336, BEVERLY HILLS, CA 90211-3134
(310) 659-9511
(818) 697-9319

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
175L00000X
Homeopath
2080P0006X
Developmental - Behavioral Pediatrics Physician
225X00000X
Occupational Therapist
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary
252Y00000X
Early Intervention Provider Agency
261QD1600X
Developmental Disabilities Clinic/Center
261QH0700X
Hearing and Speech Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM3000X
Medically Fragile Infants and Children Day Care
261QP2000X
Physical Therapy Clinic/Center

Other

Enumeration date
11/05/2015
Last updated
03/30/2021
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