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Organization
SPEECH PATHOLOGY ASSOCIATES
Active
Organization
SPEECH PATHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA C MOORE CCC-SLP (OWNER)
(949) 857-6051
Entity
Organization
Contact information
Practice address
4010 BARRANCA PKWY STE 220, IRVINE, CA 92604-1721
(949) 857-6051
(949) 857-0941
Mailing address
4010 BARRANCA PKWY STE 220, IRVINE, CA 92604-1721
(949) 857-6051
(949) 857-0941
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3260
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP0032600
—
CA
Enumeration date
09/22/2011
Last updated
09/22/2011
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