Individual
MARIA CECILLE TADIAR LIZARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
433 N 4TH ST STE 101A, MONTEBELLO, CA 90640-4313
(909) 576-1869
Mailing address
433 N 4TH ST STE 101A, MONTEBELLO, CA 90640-4313
(909) 576-1869
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA499
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SPA499
SLPAB
CA
Enumeration date
06/20/2011
Last updated
06/20/2011
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