Individual
DEANNA JOY CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
12139 MOUNT VERNON AVE STE 110, GRAND TERRACE, CA 92313-5500
(909) 370-3396
Mailing address
12772 GRANITE PASS RD, RIVERSIDE, CA 92503-8432
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235Z00000X
—
CA
Enumeration date
06/09/2017
Last updated
06/16/2018
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