MELLISA SUAZO


Address: 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648
Phone: 8189682337

MELLISA SUAZO (NPI# 1770079360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770079360
Entity Type Individual
Full Name MELLISA SUAZO
Practice Address 5567 Reseda Blvd Ste 107
Tarzana
CA 91356-2648
Practice Telephone 8189682337
Mailing Telephone 8189682337
Enumeration Date 2018-07-06
Last Update Date 2018-07-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
4977 CA Speech, Language and Hearing Service Providers

Office Location

Street Address 5567 RESEDA BLVD STE 107
City TARZANA
State CA
Zip Code 91356-2648

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548415581 Christie Nicole Sforzini Speech-Language Pathologist 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 2008-11-18
1003447996 Tamara M Vandenbroucke Specialist/Technologist 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 2020-01-29
1083268817 Christina Louise Harold Specialist/Technologist 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 2019-07-30
1205490109 Sean Alan Wyner Speech-Language Pathologist 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 2019-04-25
1770049736 Natalie Meg Sumian Specialist/Technologist 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 2019-02-14
1447732201 Katarina Dahlin Speech-Language Pathologist 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 2018-08-29
1316433584 Kathleen Lao Specialist/Technologist 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 2018-07-10
1326531963 Kelly Brown Speech-Language Pathologist 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 2018-06-08
1619475498 Shirin Monica Azadeh Community/Behavioral Health 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 2018-01-26
1023562097 Robert Benitez Jr. Specialist/Technologist 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 2016-08-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679137293 Sarah Badreau Behavior Technician 5554 Reseda Blv., Tarzana, CA 91356 2019-04-29
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1437659000 Chloe Kang Speech-Language Pathologist 19019 Ventura Blvd., Tarzana, CA 91356 2018-02-20
1114430139 Avb & Lv Corporation Home Health 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 2017-11-13
1881110468 Samina Qadir Registered Nurse 18321 Clark St., Tarzana, CA 91356 2017-08-16
1700306776 Debbie Rehman Lux Marriage & Family Therapist 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 2017-06-21
1467980631 Valley Nerological Services, LLC Radiology 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 2017-05-31
1669906020 Evolve Growth Initiatives LLC Clinic/Center 5435 Aura Avenue, Tarzana, CA 91356 2017-04-12
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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003447996 Tamara M Vandenbroucke Specialist/Technologist 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 2020-01-29
1790323343 Galit Elizabeth Royker Specialist/Technologist 19100 Ventura Blvd, Tarzana, CA 91356-3239 2019-12-13
1720632318 Agnes Patton Specialist/Technologist 5567 Reseda Blvd, Tarzana, CA 91356-2674 2019-07-31
1083268817 Christina Louise Harold Specialist/Technologist 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 2019-07-30
1770049736 Natalie Meg Sumian Specialist/Technologist 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 2019-02-14
1699253963 Mary Ellen Casner Specialist/Technologist 19019 Ventura Blvd, Tarzana, CA 91356-3253 2018-07-30
1316433584 Kathleen Lao Specialist/Technologist 5567 Reseda Blvd Ste 107, Tarzana, CA 91356-2648 2018-07-10
1356872998 Alexis Kusnier Specialist/Technologist 5567 Reseda Blvd, Suite 107, Tarzana, CA 91356-2674 2017-03-24
1457805228 Kathryn Moulton Specialist/Technologist 5567 Reseda Blvd, Tarzana, CA 91356-2674 2016-08-10
1780138487 Ivana Lyon Specialist/Technologist 5567 Reseda Blvd, 107, Tarzana, CA 91356-2674 2016-08-10
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Competitor

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City TARZANA
Zip Code 91356

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Dataset Information

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.

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