Beverly Hills Speech & Language Center

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3163 Issued in CA

Legal business name

BEVERLY HILLS SPEECH & LANGUAGE CENTER

Practice address

141 El Camino Dr
Suite 210
Beverly Hills, CA 90212

Phone

(310) 858-5955

Fax

(310) 858-5951

NPI assigned

Jul 24, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Roberta Lois Tishman, MA CCC SLP

Title

Owner

Phone

(310) 858-5955

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1316102882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 EL CAMINO DR",
            "address_2": "SUITE 210",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "310-858-5955",
            "fax_number": "310-858-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 EL CAMINO DR",
            "address_2": "SUITE 210",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "310-858-5955",
            "fax_number": "310-858-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS SPEECH & LANGUAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "TISHMAN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "LOIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-858-5955",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP3163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Beverly Hills, CA
• Providers in Beverly Hills, 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 24, 2008; 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.