National Provider Identifier Database

DIRECT THERAPY SP
Speech-Language Pathologist

A speech pathologist is a person qualified by a master?s degree in speech-language pathology, and where applicable, licensed by the state and practicing within the scope of the license. Also, known as speech therapist, a speech pathologist evaluates patients with language and speech impairments or disorders, whether arising from physiological and neurological disturbances, defective articulation or foreign dialects, and conducts remedial programs designed to restore or improve their communication efficacy. Speech pathologists assess and treat persons with speech, language, voice, and fluency disorders.


Contact Information

DIRECT THERAPY, S&P
1900 ROYALTY DRIVE, SUITE 210
POMONA, CA91767
Phone: 909-568-6816
Fax: 909-629-2694
Website:
Specialty Taxonomy Code
* Speech-Language Pathologist 235Z00000X
Prosthetic/Orthotic Supplier 335E00000X

* Indicates primary specialty

NPI Profile & details for DIRECT THERAPY, S&P

NPI Number 1720220817
Legal business name
LBN
DIRECT THERAPY, S&P
Authorized official ANDREA HAYES - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/03/2009
Last updated 09/14/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 25575
  • CA License #: SP 8223

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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