Stephanie Grace Distelrath, SLPA
NPI #1407414287 in West Covina, California
Provider Information
- NPI Number
- 1407414287
- Entity Type
- Individual
- Name
- Stephanie Grace Distelrath, SLPA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Speech-Language Assistant
- Credential
- SLPA
- Enumeration Date
- Jun 5, 2019
- Last Updated
- Jun 5, 2019
Practice Location
- Address
- 410 E MERCED AVE STE E
- City
- West Covina
- State
- California
- ZIP Code
- 91790-5058
- Phone
- (909) 331-7693
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Speech-Language Assistant — Speech-Language Assistant |
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