Mastaneh Nassi, M.S., CCC-SLP
Speech-Language Pathologist, in Los Angeles, CA. Individual provider (NPI-1).
NPI number1124385802
StatusActive
Last updated in NPPESJun 17, 2013
Details
- NPI
- 1124385802
- Entity type
- Individual (NPI-1)
- Name
- Mastaneh Nassi
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 18, 2012
- Last updated
- Jun 17, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 19111 | CA | Yes |
Practice location
2202 W Martin Luther King Jr BlvdLos Angeles, CA 90008-2723
Phone 310-666-7413
Mailing address
121 N Le Doux RdBeverly Hills, CA 90211-2210
Phone 131-066-6741
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