Dr. Alicia a. Elliott Speech Pathology, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4207 Issued in CA

Legal business name

DR. ALICIA A. ELLIOTT SPEECH PATHOLOGY, INC.

Practice address

2506 Foothill Blvd
La Crescenta, CA 91214-3506

Phone

(818) 236-3603

Fax

(818) 236-2106

NPI assigned

Aug 2, 2011

Last updated

Aug 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alicia A. Elliott, ED.D

Title

Director/Speech Pathologist

Phone

(818) 236-3603

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1144508599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 FOOTHILL BLVD",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143506",
            "telephone_number": "818-236-3603",
            "fax_number": "818-236-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 FOOTHILL BLVD",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143506",
            "telephone_number": "818-236-3603",
            "fax_number": "818-236-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALICIA A. ELLIOTT SPEECH PATHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "818-236-3603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "4207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in La Crescenta, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.