Organization
PROVIDENCE SPEECH AND HEARING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM CLAYTON (HR COORDINATOR)
(714) 639-4990
Entity
Organization
Contact information
Practice address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
(714) 744-3841
Mailing address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
(714) 744-3841
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP18587
CA
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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