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Organization
AVID SPEECH THERAPY
Active
Organization
AVID SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARISSA VENTRESS M.A. CCC-SLP (CEO)
(714) 642-5420
Entity
Organization
Contact information
Practice address
10061 TALBERT AVE STE 104, FOUNTAIN VALLEY, CA 92708-5159
(714) 272-3090
(714) 849-5393
Mailing address
10061 TALBERT AVE STE 104, FOUNTAIN VALLEY, CA 92708-5159
(714) 272-3090
(714) 849-5393
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
01/18/2024
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