Organization
SPEECH LANGUAGE PATHOLOGY
Active
Organization
SPEECH LANGUAGE PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE SWITZER MA (OWNER, SPEECH PATHOLOGIST)
(714) 544-1860
Entity
Organization
Contact information
Practice address
12791 NEWPORT AVE, SUITE 101, TUSTIN, CA 92780-2751
(714) 544-1860
(714) 730-5372
Mailing address
12791 NEWPORT AVE, SUITE 101, TUSTIN, CA 92780-2751
(714) 544-1860
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
SP 3165
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031650
BLUE SHIELD
CA
01
—
SP31650
BLUE CROSS
CA
Enumeration date
04/18/2007
Last updated
06/30/2008
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