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Organization
PROVIDENCE SPEECH AND HEARING CENTER
Active
Organization
PROVIDENCE SPEECH AND HEARING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTINA CEDENO (CREDENTIALING/HUMAN RESOURCES)
(715) 639-4990
Entity
Organization
Contact information
Practice address
17075 BUSHARD ST, FOUNTAIN VALLEY, CA 92708-2836
(855) 901-7742
Mailing address
3301 MICHELSON DR APT 3303, IRVINE, CA 92612-4320
(909) 896-3003
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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