Casey Vongphrachanh
NPI #1508263559 in Sierra Madre, California
Provider Information
- NPI Number
- 1508263559
- Entity Type
- Individual
- Name
- Casey Vongphrachanh
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Nov 19, 2014
- Last Updated
- Nov 19, 2014
Practice Location
- Address
- 55 AUBURN AVE
- Address 2
- SUITE A
- City
- Sierra Madre
- State
- California
- ZIP Code
- 91024-1847
- Phone
- (626) 355-1729
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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