Individual
HILARY HAYASHI SPANNAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1929 MAIN ST STE 103, IRVINE, CA 92614-6524
(949) 229-5709
Mailing address
113 COSTERO AISLE, IRVINE, CA 92614-5943
(310) 927-4894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
27923
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27923
SPEECH PATHOLOGIST LICENSE
CA
Enumeration date
06/15/2018
Last updated
08/30/2019
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