Individual
CYNTHIA WEINSTEIN HERYANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1215 20TH ST, HERMOSA BEACH, CA 90254-3317
(310) 895-9955
Mailing address
703 PIER AVE., STE B #403, HERMOSA BEACH, CA 90254
(310) 895-9955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18300SLP
CA
Other
Enumeration date
05/25/2012
Last updated
02/08/2022
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