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Organization
EXPRESS YOURSELF THERAPY
Active
Organization
EXPRESS YOURSELF THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILARY HAYASHI SPANNAGEL CCC-SLP (OWNER/SLP)
(949) 229-5709
Entity
Organization
Contact information
Practice address
1929 MAIN ST STE 103, IRVINE, CA 92614-6524
(949) 229-5709
Mailing address
113 COSTERO AISLE, IRVINE, CA 92614-5943
(949) 229-5709
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27923
SPEECH PATHOLOGY LICENSE
CA
Enumeration date
08/30/2019
Last updated
08/30/2019
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