Individual
IRIS PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
333 S BEAUDRY AVE, LOS ANGELES, CA 90017-1466
(213) 241-6131
Mailing address
433 S MANHATTAN PL UNIT 210, LOS ANGELES, CA 90020-4172
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
235Z00000X
Speech-Language Pathologist
Primary
35162
CA
Other
Enumeration date
09/05/2019
Last updated
02/17/2026
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