| NPI | 1013246248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH LOUISE VAN ORDEN Owner/Speech Language Pathologist 760-529-4975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP17061) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |