Multimodal Communication Speech Clinic P.c.
NPI #1376268847 in Fountain Valley, California
Provider Information
- NPI Number
- 1376268847
- Entity Type
- Organization
- Organization Name
- Multimodal Communication Speech Clinic P.c.
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Oct 7, 2022
- Last Updated
- Jan 16, 2024
Practice Location
- Address
- 18430 BROOKHURST ST STE 201H
- City
- Fountain Valley
- State
- California
- ZIP Code
- 92708-6757
- Phone
- (562) 373-8874
Authorized Official
- Name
- DESTINY BROOK JOHNSON
- Title
- SPEECH LANGUAGE PATHOLOGIST
- Phone
- (562) 373-8874
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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