Green Family Tree, Inc.

Speech-Language Pathologist · La Verne, CA

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At a glance

2120 Foothill Blvd Ste 115, La Verne, CA 91750-2949

NPPES record updated Jun 3, 2024. Public records can lag behind changes at a practice.

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Practice location

2120 Foothill Blvd Ste 115
La Verne, CA 91750-2949
Professional details: NPI, taxonomy & registry record
NPI1619538824
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Registry details

Primary taxonomy
Speech-Language Pathologist
Taxonomy code
235Z00000X
Enumeration date
Jun 27, 2019
Record updated
Jun 3, 2024
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Speech-Language Pathologist

235Z00000X · Primary

Specialty details in registry

261QD1600X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2120 Foothill Blvd Ste 115
La Verne, CA 91750-2949
Phone
(888) 647-3622
Mailing address
2120 FOOTHILL BLVD STE 115

LA VERNE, CA 917502949
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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