Organization
PROVIDENCE SPEECH AND HEARING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHELSEALEE JOHANSEN (DIRECTOR OF HUMAN RESOURCES)
(714) 639-4990
Entity
Organization
Contact information
Practice address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
(949) 599-0218
Mailing address
1301 PROVIDENCE AVE., ORANGE, CA 92868
(949) 599-0218
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
397
CA
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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