Organization
INSTRUMENTAL SPEECH LANGUAGE PATHOLOGY PROFESSIONALS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDA KONGSWANGWONGSA SLP (PRESIDENT)
(909) 636-8125
Entity
Organization
Contact information
Practice address
5475 E LA PALMA AVE STE 206, ANAHEIM, CA 92807-2075
(714) 922-5235
Mailing address
5475 E LA PALMA AVE STE 206, ANAHEIM, CA 92807-2075
(714) 922-5235
(714) 386-5132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
08/25/2021
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