Individual
DANIELA VIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
8425 PALM ST, LEMON GROVE, CA 91945-3314
(619) 825-5669
Mailing address
8425 PALM ST, LEMON GROVE, CA 91945-3314
(619) 825-5669
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
023957
NY
235Z00000X
Speech-Language Pathologist
Primary
24616
CA
Other
Enumeration date
09/05/2014
Last updated
08/08/2026
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