Individual
HEATHER PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
11205 KNOTT AVE STE E, CYPRESS, CA 90630-5489
(714) 893-7399
Mailing address
11205 KNOTT AVE STE E, CYPRESS, CA 90630-5489
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP24830
CA
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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