Mind the Gap...Bridging Communication and More

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15024 Issued in CA

Legal business name

MIND THE GAP...BRIDGING COMMUNICATION AND MORE

Doing business as

Mind the Gap

Practice address

25115 Avenue Stanford
Suite B-121
Valencia, CA 91355-1290

Phone

(661) 295-9696

Fax

(661) 295-3434

NPI assigned

May 20, 2009

Organization subpart

No

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

Authorized official

Name

Tia Herrell, M.S.

Title

Owner/Speech-Language Pathologist

Phone

(661) 295-9696

Specialties & licenses 1

Addresses

Other names 1

• Mind the Gap Doing business as

Locations

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1881829778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25115 AVENUE STANFORD",
            "address_2": "SUITE B-121",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551290",
            "telephone_number": "661-295-9696",
            "fax_number": "661-295-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25115 AVENUE STANFORD",
            "address_2": "SUITE B-121",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551290",
            "telephone_number": "661-295-9696",
            "fax_number": "661-295-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND THE GAP...BRIDGING COMMUNICATION AND MORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "HERRELL",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "661-295-9696",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind the Gap",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Valencia, CA
• Providers in Valencia, 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 May 20, 2009; 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.