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Innovative Speech & Language Pathology Inc

NPI 1619340098ActiveOrganization· Speech-Language Pathologist· Beverly Hills, CA

Speech-Language Pathologist in Beverly Hills, California, registered in NPPES in November 2015. The authorized official on file is Odelia Mirzadeh, SLP, Seo.

Overview

NPI1619340098
StatusActive
Entity typeOrganization
NPI issuedNov 5, 2015
Last updated in NPPESMar 30, 2021
Certified by providerMar 30, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X——
Behavior Analyst103K00000X——
Assistant Behavior Analyst106E00000X——
Behavior Technician106S00000X——
Homeopath175L00000X——
Pediatrics, Developmental - Behavioral Pediatrics2080P0006X——
Occupational Therapist225X00000X——
Occupational Therapist, Feeding, Eating & Swallowing225XF0002X——
Occupational Therapist, Pediatrics225XP0200X——
Early Intervention Provider Agency252Y00000X——
Clinic/Center, Developmental Disabilities261QD1600X——
Clinic/Center, Hearing and Speech261QH0700X——
Clinic/Center, Mental Health (Including Community Mental Health Center)261QM0801X——
Clinic/Center, Medically Fragile Infants and Children Day Care261QM3000X——
Clinic/Center, Physical Therapy261QP2000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other speech-language pathologists in Beverly Hills

All 48 speech-language pathologists in Beverly Hills · All speech-language pathologists in California