Providence Speech and Hearing Center
NPI #1083264196 in Fountain Valley, California
Provider Information
- NPI Number
- 1083264196
- Entity Type
- Organization
- Organization Name
- Providence Speech and Hearing Center
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Sep 19, 2019
- Last Updated
- Sep 19, 2019
Practice Location
- Address
- 17075 BUSHARD ST
- City
- Fountain Valley
- State
- California
- ZIP Code
- 92708-2836
- Phone
- (855) 901-7742
Authorized Official
- Name
- VALENTINA CEDENO
- Title
- CREDENTIALING/HUMAN RESOURCES
- Phone
- (715) 639-4990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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