Provider Demographics
NPI:1386078855
Name:BARGELT, JAMES HAGER (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HAGER
Last Name:BARGELT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5227
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91221-2227
Mailing Address - Country:US
Mailing Address - Phone:818-378-9524
Mailing Address - Fax:818-953-5003
Practice Address - Street 1:11271 VENTURA BLVD
Practice Address - Street 2:SUITE 474
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-3136
Practice Address - Country:US
Practice Address - Phone:818-378-9524
Practice Address - Fax:818-953-5003
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-02
Last Update Date:2013-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6306235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist