Organization
CROSSROADS SPEECH & LANGUAGE PATHOLOGY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIMA KHADEM CCC-SLP (PRESIDENT/OWNER)
(310) 962-3883
Entity
Organization
Contact information
Practice address
12010 TEXAS AVE, LOS ANGELES, CA 90025-1311
(310) 383-9528
Mailing address
12010 TEXAS AVE, LOS ANGELES, CA 90025-1311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/30/2019
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