Organization
FIRST EXPRESSIONS SPEECH-LANGUAGE PATHOLOGY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON R. BERGANCIA MA., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(619) 807-4336
Entity
Organization
Contact information
Practice address
4193 FLAT ROCK DR STE 200, RIVERSIDE, CA 92505-7113
(619) 807-4336
Mailing address
27720 JEFFERSON AVE STE 120, TEMECULA, CA 92590-2609
(951) 587-6973
(844) 332-5907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/29/2020
Last updated
03/21/2022
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