Individual
MS. BEATRIZ RODRIGUEZ-WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
11654 SPRINGSIDE RD, SAN DIEGO, CA 92128-5022
(858) 486-0685
Mailing address
11654 SPRINGSIDE RD, SAN DIEGO, CA 92128-5022
(858) 486-0685
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9536
CA
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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