Provider Demographics
NPI:1891044798
Name:CLARION SPEECH AND LANGUAGE SERVICES, INC.
Entity type:Organization
Organization Name:CLARION SPEECH AND LANGUAGE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LETHE
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCCSP 6069
Authorized Official - Phone:213-804-2516
Mailing Address - Street 1:PO BOX 4436
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-4436
Mailing Address - Country:US
Mailing Address - Phone:310-637-1010
Mailing Address - Fax:
Practice Address - Street 1:555 W COMPTON BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220-3085
Practice Address - Country:US
Practice Address - Phone:310-637-1010
Practice Address - Fax:310-637-1414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12003007252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency