Organization
E. CHERYL FLETCHER SPEECH PATHOLOGY & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELISABETH CHERYL FLETCHER MACCC (OWNER)
(805) 484-1671
Entity
Organization
Contact information
Practice address
150 VALLEY VISTA DR, CAMARILLO, CA 93010-1725
(805) 484-1671
(805) 987-0667
Mailing address
150 VALLEY VISTA DR, CAMARILLO, CA 93010-1725
(805) 484-1671
(805) 987-0667
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
SP 3002
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ83857Z
BLUE OF CALIFORNIA
CA
Enumeration date
01/26/2010
Last updated
01/26/2010
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