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Organization

LANGUAGE AND SPEECH THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JULIE CHAU DIEP MS, CCC-SLP (CLINICAL DIRECTOR)
(714) 539-6207
Entity
Organization

Contact information

Practice address
12966 EUCLID ST, SUITE 550, GARDEN GROVE, CA 92840-9217
(714) 539-6207
(714) 539-6209
Mailing address
12966 EUCLID ST STE 550, GARDEN GROVE, CA 92840-9217
(714) 539-6207
(714) 539-6209

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
SP12385
CA
305S00000X
Point of Service
SP12385
CA

Other

Enumeration date
07/20/2011
Last updated
07/20/2011
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