Lil' Bloomers Speech Therapy Clinic

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

15011 Issued in CA

Legal business name

LIL' BLOOMERS SPEECH THERAPY CLINIC

Practice address

337 S Beverly Dr
Suite 107
Beverly Hills, CA 90212-4315

Phone

(888) 545-2566

Fax

(888) 545-2566

NPI assigned

Oct 11, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Tracy Andrew, MS, CCC-SLP

Title

Owner / Speech Language Pathologist

Phone

(888) 545-2566

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1124303086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 S BEVERLY DR",
            "address_2": "SUITE 107",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124315",
            "telephone_number": "888-545-2566",
            "fax_number": "888-545-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 S BEVERLY DR",
            "address_2": "SUITE 107",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124315",
            "telephone_number": "888-545-2566",
            "fax_number": "888-545-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIL' BLOOMERS SPEECH THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER / SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "888-545-2566",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "15011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.