The Social House, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18733 Issued in CA

Legal business name

THE SOCIAL HOUSE, LLC

Practice address

2010 Hillcrest Rd Apt 2
Los Angeles, CA 90068-3171

Phone

(424) 835-0898

NPI assigned

Dec 11, 2017

Organization subpart

No

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

Authorized official

Name

Nicole Corin, MS, CCC-SLP

Title

Speech-Language Pathologist

Phone

(424) 835-0898

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1336654599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 HILLCREST RD APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900683171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 HILLCREST RD APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900683171",
            "telephone_number": "424-835-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOCIAL HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "CORIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "424-835-0898",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18733",
            "primary": true
        }
    ],
    "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 Dec 11, 2017; 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.