| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MISA PRIEST | 1083336838 | 2022-09-16 |
Misa Priest is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1083336838. Registration indicates Misa Priest is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)
| Entity Type | Individual |
| Provider Name | Misa Priest |
| Practice Office Address | 3265 S SEPULVEDA BLVD APT 305 LOS ANGELES, CA US |
| Practice Office Telephone | 4083187459 |
| Mailing Address | 3265 S SEPULVEDA BLVD APT 305 LOS ANGELES, CA 900345219 US |
| Business Telephone | 4083187459 |
| Code | Practice | License No State |
|---|---|---|
| 235Z00000X PRIMARY | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers | 20816
CA |