MS. Gina Marie Costi-Wong, MS, CCC-SLP
NPI #1326684473 in La Jolla, California
Provider Information
- NPI Number
- 1326684473
- Entity Type
- Individual
- Name
- MS. Gina Marie Costi-Wong, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- Nov 25, 2019
- Last Updated
- Feb 5, 2020
Practice Location
- Address
- 9888 GENESEE AVE
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-1205
- Phone
- (858) 626-4444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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