Organization
CENTER FOR DEVELOPING KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOURI SIMON (SPEECH LANGUAGE PATHOLOGIST)
(626) 564-2700
Entity
Organization
Contact information
Practice address
200 E DEL MAR BLVD, SUITE 112, PASADENA, CA 91105-2544
(626) 564-2700
Mailing address
200 E DEL MAR BLVD, SUITE 112, PASADENA, CA 91105-2544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
RPE LICENSE #8148
CA
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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