Organization Active NPI

PJW Speech and Language Therapy Inc.

  • Speech-Language Pathologist
  • Fullerton, CA
National Provider Identifier
1104597418
Registry record updated Sep 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PJW SPEECH AND LANGUAGE THERAPY INC.
Practice address
2817 Wisteria Lane
Fullerton, CA 92833
Phone
(909) 203-2700
Fax
(757) 250-4041
NPI assigned
Sep 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pamela Won, M.S., CCC-SLP
Title
Speech Language Pathologist and Ceo
Phone
(909) 203-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2817 Wisteria Lane
Fullerton, CA 92833

Mailing address

2817 Wisteria Lane
Fullerton, CA 92833
Phone (909) 203-2700

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632614400000",
    "number": "1104597418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 WISTERIA LANE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92833",
            "telephone_number": "909-203-2700",
            "fax_number": "757-250-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 WISTERIA LANE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92833",
            "telephone_number": "909-203-2700",
            "fax_number": "757-250-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJW SPEECH AND LANGUAGE THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-26",
        "last_updated": "2021-09-26",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "WON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST AND CEO",
        "authorized_official_telephone_number": "909-203-2700",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.