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Organization
VALLEY SPEECH AND LANGUAGE REHABILITATION, INC.
Active
Organization
VALLEY SPEECH AND LANGUAGE REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINTHIA M. LOPEZ-GOSTICH (DIRECTOR)
(760) 562-9286
Entity
Organization
Contact information
Practice address
2366 18TH ST, EL CENTRO, CA 92243-6176
(760) 562-9286
(760) 352-7628
Mailing address
PO BOX 2975, EL CENTRO, CA 92244-2975
(760) 352-1628
(760) 352-1628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 13118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12075049
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
CA
01
—
SP 13118
SPEECH -LANGUAGE PATHOLOGY AND AUDIOLOGY BOARD
CA
Enumeration date
08/19/2010
Last updated
08/20/2010
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