Provider Demographics
NPI:1871397786
Name:SPEECHFIT, A SPEECH LANGUAGE PATHOLOGY CORPORATION
Entity type:Organization
Organization Name:SPEECHFIT, A SPEECH LANGUAGE PATHOLOGY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARIN
Authorized Official - Middle Name:HARTUNIAN
Authorized Official - Last Name:KOUKEYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:818-660-6351
Mailing Address - Street 1:1301 OAK CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1107
Mailing Address - Country:US
Mailing Address - Phone:818-660-6351
Mailing Address - Fax:
Practice Address - Street 1:1301 OAK CIRCLE DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1107
Practice Address - Country:US
Practice Address - Phone:818-660-6351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty