NPI 1073059572

Larisa Chudnovskaya, MACCCSLP

Practitioner Speech-Language Pathologist Culver City, CA

Practice location

Address: 10800 Farragut Dr, Culver City, CA 90230-4107
Phone: (424) 341-0151
Mailing address: 19750 S Vermont Ave Suite 140, Torrance, CA 90502-1119

Registered specialties (2)

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 26048 (CA)

Other Speech-Language Pathologist providers in California →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X Licence RPE 11102 (CA)

Other Student in an Organized Health Care Education/Training Program providers in California →

Registry record

NPI: 1073059572
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2017
Record last updated: 25 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.