Individual
MRS. ELYCE BLOOM HEMINGWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC
Contact information
Practice address
24552 PASEO DE VALENCIA, LAGUNA HILLS, CA 92653-4236
(949) 609-7544
Mailing address
4866 PASEO DE VEGA, IRVINE, CA 92603-3323
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7938
CA
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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