Organization
MCRORY PEDIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI MCRORY MA, BCBA (SPEECH LANGUAGE PATHOLOGIST)
(818) 501-8352
Entity
Organization
Contact information
Practice address
17609 VENTURA BLVD, SUITE #215, ENCINO, CA 91316-3858
(818) 501-8352
(818) 501-8325
Mailing address
17609 VENTURA BLVD, SUITE #215, ENCINO, CA 91316-3858
(818) 501-8352
(818) 501-8325
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
X
CA
Other
Enumeration date
05/12/2010
Last updated
07/21/2022
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