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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Speech-Language Pathologist · CORONA, CA

Registration Details

NPI Number
1356961478
Provider Type
Individual
Gender
Female
NPI Issued
Apr 18, 2020 (6.0118474374769 yrs)
Last Updated
Apr 18, 2020
License
21390 (CA)

Practice Information

Address
2600 S MAIN ST
CORONA, CA, 928825941
Browse CA providers · Browse ZIP 92882
Phone
8772524469
Primary Specialty
Speech-Language Pathologist
235500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.