Individual
DIANA MANUEL SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1031 AVENIDA PICO STE 201, SAN CLEMENTE, CA 92673-6356
(949) 388-8788
Mailing address
27901 CAMINO SANTO DOMINGO, SAN JUAN CAPISTRANO, CA 92675-3323
(310) 213-6223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CC6741
CA
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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