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Organization
MULTIMODAL COMMUNICATION SPEECH CLINIC P.C.
Active
Organization
MULTIMODAL COMMUNICATION SPEECH CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINY BROOK JOHNSON (SPEECH LANGUAGE PATHOLOGIST)
(562) 373-8874
Entity
Organization
Contact information
Practice address
18430 BROOKHURST ST STE 201H, FOUNTAIN VALLEY, CA 92708-6757
(562) 373-8874
Mailing address
18430 BROOKHURST ST STE 201H, FOUNTAIN VALLEY, CA 92708-6757
(562) 373-8874
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
01/16/2024
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