Supernova Speech Therapy, A Professional Speech Language Pathology Cor

LBN: Supernova Speech Therapy, A Professional Speech Language Pathology Cor
Supernova Speech Therapy, A Professional Speech Language Pathology Cor is an health care organization with primary practice located at 2009A Palo Verde Ave # 202 , Long Beach CA 90815-3322. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Supernova Speech Therapy, A Professional Speech Language Pathology Cor can be contacted via phone (562) 317-1477, or through Magana-Gomez, Kathy via phone (562) 317-1477.

Contact Information

Primary practice address
2009A Palo Verde Ave # 202 Long Beach CA 90815-3322
Phone: (562) 317-1477
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Magana-Gomez, Kathy SLP
Phone: (562) 317-1477

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1053027441
LBN Legal business name Supernova Speech Therapy, A Professional Speech Language Pathology Cor
DBA Doing business as
Authorized official Magana-Gomez, Kathy SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2023
Last updated Jan 27th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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