Organization
DOUGLAS SPEECH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GARRETT DOUGLAS CCC-SLP (OWNER/DIRECTOR)
(323) 960-0176
Entity
Organization
Contact information
Practice address
1680 VINE ST, SUITE 300, LOS ANGELES, CA 90028-8804
(323) 960-0176
(323) 960-0714
Mailing address
1680 VINE ST, SUITE 300, LOS ANGELES, CA 90028-8804
(323) 960-0176
(323) 960-0714
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#11478
CA
252Y00000X
Early Intervention Provider Agency
SP#11478
CA
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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