B Expressive, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP8247 Issued in CA

Legal business name

B EXPRESSIVE, INC.

Practice address

6601 Center Dr W
Ste. #540
Los Angeles, CA 90045-1582

Phone

(310) 766-4747

Fax

(310) 337-1379

NPI assigned

Jul 9, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Brenda Rena Deadwyler, LIC. MHSCCCSLP

Title

Ceo/Speech Pathologist

Phone

(310) 766-4747

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1310169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310169600000",
    "number": "1124315221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 CENTER DR W",
            "address_2": "STE. #540",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451582",
            "telephone_number": "310-766-4747",
            "fax_number": "310-337-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 CENTER DR W",
            "address_2": "STE. #540",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451582",
            "telephone_number": "310-766-4747",
            "fax_number": "310-337-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B EXPRESSIVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-09",
        "last_updated": "2011-07-09",
        "status": "A",
        "authorized_official_last_name": "DEADWYLER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "CEO/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "310-766-4747",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LIC. MHSCCCSLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP8247",
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CA",
            "license": "SP8247",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.