Individual
CORA BETHANY HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
(714) 639-4990
Mailing address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
(714) 639-4990
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20757
CA
Other
Enumeration date
07/25/2025
Last updated
07/28/2025
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