Individual
DANIELLE RENEE BOURQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
(714) 639-4990
Mailing address
32221 ALIPAZ ST APT 105, SAN JUAN CAPISTRANO, CA 92675-3619
(650) 722-1975
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
40959
CA
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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