LISA JOY BOLDEN (NPI# 1528608403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528608403 |
| Entity Type | Individual |
| Full Name | LISA JOY BOLDEN |
| Credential | MA, CCC-SLP |
| Practice Address |
924 Westwood Blvd Ste 515 Los Angeles CA 90024-2926 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3107948634 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 11543 | CA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 52125 Via Castile, La Quinta, CA 922537816 | 3109901515 | 8558251502 |
| Ucla Speech Clinic 200 Medical Plaza Suite 540, Los Angeles, CA 900950001 | 3108258551 | 3102062331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306225842 | Lisa Bolden | Counselor | 208 E Thomas St, Hammond, LA 70401-3316 | 2015-05-28 |
| 1609044163 | Lisa L. Bolden | Counselor | 3864 N 27th Ave, Phoenix, AZ 85017-4703 | 2008-02-18 |
| 1104991025 | Lisa Bolden | Psychologist | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2006-11-24 |
| Street Address |
924 WESTWOOD BLVD STE 515 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90024-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523071 | World of Health Therapy Inc | Behavioral Analyst | 1539 Woodruff Avenue, Apartment 304, Los Angeles, CA 90024 | 2019-11-21 |
| 1063988335 | Formation Inc | Nursing Care | 1611 Westwood Blvd, Los Angeles, CA 90024 | 2018-10-15 |
| 1124504956 | Sherry Sinsay Alamdari | Marriage & Family Therapist | 1328 Westwood Blvd #35, Los Angeles, CA 90024 | 2018-07-15 |
| 1386140739 | Ellen Frances Charles | Student in an Organized Health Care Education/Training Program | Ucla Psychiatry House Staff Office, 760 Westwood Plaza, Suite 37-384, Los Angeles, CA 90024 | 2018-04-04 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1467979658 | Jessica Lessing O'leary | Student in an Organized Health Care Education/Training Program | 760 Westwood Plz # A7-361, Los Angeles, CA 90024 | 2017-08-28 |
| 1144745076 | Mastane M Shalikar | Dental Hygienist | 10683 Holman Ave, #5, Los Angeles, CA 90024 | 2017-08-11 |
| 1902321367 | Mamdouh Alrata | Dentist | 606 Levering Ave, Apt # 312, Los Angeles, CA 90024 | 2017-08-07 |
| 1366988834 | Sibel Kantarci | Medical Genetics | 1010 Veteran Avenue, West Medical Building, Ucla Clinical and Molecular Cytogenetics Laboratory, Los Angeles, CA 90024 | 2017-01-09 |
| 1679016976 | Iris Finger | Psychologist | 150 Medical Plaza, Suite 4238b, Los Angeles, CA 90024 | 2016-11-18 |
| Find all providers in zip 90024 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183626 | Dina Kamionski | Speech-Language Pathologist | 10592 Wilkins Ave, Los Angeles, CA 90024-6033 | 2020-10-29 |
| 1780295998 | Teadora Taddeo | Speech-Language Pathologist | 4909 Baltimore St, Los Angeles, CA 90042-2214 | 2020-08-11 |
| 1386254985 | Christina Foucault Crowe | Speech-Language Pathologist | 823 Teakwood Rd, Los Angeles, CA 90049-1329 | 2020-08-07 |
| 1811515273 | Cathleen Wynne | Speech-Language Pathologist | 4310 Finley Ave Apt 6, Los Angeles, CA 90027-2847 | 2020-07-10 |
| 1447878517 | Christina Lee Cannon | Speech-Language Pathologist | 101 S Sycamore Ave Apt 2, Los Angeles, CA 90036-2984 | 2020-07-06 |
| 1811510456 | Debra Devorah Smilow | Speech-Language Pathologist | 222 S Mccadden Pl, Los Angeles, CA 90004-1054 | 2020-05-18 |
| 1811517220 | Neil Gordon Murray | Speech-Language Pathologist | 3480 Barham Blvd Apt 111, Los Angeles, CA 90068-1458 | 2020-04-26 |
| 1306465976 | Jill Davidson | Speech-Language Pathologist | 12516 Sanford St, Los Angeles, CA 90066-6935 | 2020-04-13 |
| 1356960520 | Roni Tunick | Speech-Language Pathologist | 1432 Camden Ave Apt 104, Los Angeles, CA 90025-3471 | 2020-04-08 |
| 1235762956 | Elizabeth Joy Gordon | Speech-Language Pathologist | 154 S Mansfield Ave, Los Angeles, CA 90036-3019 | 2020-02-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90024 |
Please comment or provide details below to improve the information on LISA JOY BOLDEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.