Individual
MISS CARYN ANDREA RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
25201 PASEO DE ALICIA STE 110, LAGUNA HILLS, CA 92653-4627
(855) 295-3276
Mailing address
2201 TELMO, IRVINE, CA 92618-0184
(847) 409-6216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013394204
SLP
—
Enumeration date
04/27/2015
Last updated
05/02/2023
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