Individual
MRS. AMY DEEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
17075 BUSHARD ST, FOUNTAIN VALLEY, CA 92708-2836
(855) 901-7742
Mailing address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3892
(855) 901-7742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
28152
CA
235Z00000X
Speech-Language Pathologist
RPE12345
CA
235Z00000X
Speech-Language Pathologist
—
CA
Other
Enumeration date
06/15/2018
Last updated
01/24/2019
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