Lifespan Therapeutic Services Speech Pathologist

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4849 Issued in CA

Legal business name

LIFESPAN THERAPEUTIC SERVICES SPEECH PATHOLOGIST

Practice address

23639 Hawthorne Blvd
Suite 201
Torrance, CA 90505-5930

Phone

(424) 201-1631

Fax

(310) 265-4775

NPI assigned

Jan 27, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Marianne O'Brien, MA SLP

Title

Speech Language Pathologist

Phone

(424) 201-1631

Specialties & licenses 1

Addresses

Other names 1

• Lifespan Therapeutic Services Doing business as

Locations

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1386001972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23639 HAWTHORNE BLVD",
            "address_2": "SUITE 201",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055930",
            "telephone_number": "424-201-1631",
            "fax_number": "310-265-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23639 HAWTHORNE BLVD",
            "address_2": "SUITE 201",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055930",
            "telephone_number": "424-201-1631",
            "fax_number": "310-265-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN THERAPEUTIC SERVICES SPEECH PATHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "424-201-1631",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "4849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifespan Therapeutic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Torrance, CA
• Providers in Torrance, 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 Jan 27, 2016; 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.