Provider Demographics
NPI:1154167310
Name:N&J SPEECH THERAPY SERVICES
Entity type:Organization
Organization Name:N&J SPEECH THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CANIZAL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:562-303-6552
Mailing Address - Street 1:4200 ROSEMEAD BLVD
Mailing Address - Street 2:APT 123
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660
Mailing Address - Country:US
Mailing Address - Phone:562-303-6552
Mailing Address - Fax:
Practice Address - Street 1:4200 ROSEMEAD BLVD
Practice Address - Street 2:APARTMENT 123
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-1749
Practice Address - Country:US
Practice Address - Phone:562-303-6552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-06
Last Update Date:2024-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No251E00000XAgenciesHome Health
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech