CREOLE GREEN
NPI 1487379772
Specialist/Technologist - Speech-Language Assistant in Gardena, CA
Active since October 10, 2022
About Creole Green NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CREOLE GREEN (NPI 1487379772) is an individual speech-language assistant in Gardena, California, licensed in California (7514) and active in the NPI registry since October 2022.
NPPES Registry Identity
NPI1487379772
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameCREOLE GREEN
Location Address1045 W REDONDO BEACH BLVD STE 135Gardena, CA 90247-4104
Mailing Address1045 W Redondo Beach Blvd Ste 135Gardena, CA 90247-4104 · (310) 553-2695
Phone(310) 553-2695
Sole ProprietorNo
Enumeration DateOctober 10, 2022
NPPES CertifiedOctober 8, 2022
✔ NPI 1487379772 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
License✔ Licensed in CA · 7514
1045 W REDONDO BEACH BLVD STE 135, Gardena, CA 90247
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Occupational Therapy Assistant
1045 W REDONDO BEACH BLVD STE 135
GARDENA, CA 90247
GARDENA, CA 90247
Specialist/Technologist (Speech-Language Assistant)
1045 W REDONDO BEACH BLVD STE 135
GARDENA, CA 90247
GARDENA, CA 90247
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487379772, enumerated as an "individual" on October 10, 2022.
The provider is located at 1045 W REDONDO BEACH BLVD STE 135 GARDENA, CA 90247 and the phone number is (310) 553-2695.
Specialist/Technologist with taxonomy code 2355S0801X and a focus in Speech-Language Assistant.
