Provider Demographics
NPI:1194297333
Name:YARIN, CHRISTINE COUTURIER (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:COUTURIER
Last Name:YARIN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:IRIE
Other - Last Name:COUTURIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:638 LINDERO CANYON RD STE 297
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91377-5457
Mailing Address - Country:US
Mailing Address - Phone:805-244-5068
Mailing Address - Fax:
Practice Address - Street 1:5674 STARWOOD CT
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-5200
Practice Address - Country:US
Practice Address - Phone:805-244-5068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-28
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA77071-SP-SL235Z00000X
CA24671235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
272977252OtherTIN