Individual
MS. CINTHIA M. LOPEZ-GOSTICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2366 18TH ST, EL CENTRO, CA 92243-6176
(760) 352-1628
(760) 352-1628
Mailing address
PO BOX 2975, EL CENTRO, CA 92244-2975
(760) 352-1628
(760) 352-1628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 13118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12075049
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
CA
01
—
SP 13118
STATE OF CALIFORNIA
CA
Enumeration date
08/19/2010
Last updated
08/19/2010
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