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Speech, Language and Hearing Service Providers Speech-Language Pathologist

Provider NPI: 1245748086

Organization Information:
Organization is not Subpart
Authorized Official:  AMANDA  BARCLAY  OWNER  949-836-3023

Practice Location:
Tel: 949-836-3023  Fax: --

Business Mailing Address:
Tel: 949-836-3023  Fax: --

NPI Information:
NPI: 1245748086
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 235Z00000X





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