Provider Demographics
NPI:1144530031
Name:HEGEDUS, ARIEL (SLP)
Entity type:Individual
Prefix:MS
First Name:ARIEL
Middle Name:
Last Name:HEGEDUS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2109 RESERVOIR ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-3025
Mailing Address - Country:US
Mailing Address - Phone:347-439-3713
Mailing Address - Fax:
Practice Address - Street 1:2060 E VILLA ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-2340
Practice Address - Country:US
Practice Address - Phone:626-449-2919
Practice Address - Fax:626-449-2850
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-14
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19042235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist