| NPI | 1215993704 |
|---|---|
| Other Name | PROVIDENCE SPEECH AND HEARING CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIAM ELQURA Contract Manager 714-509-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 231H00000X Audiologist | |
| 237700000X Hearing Instrument Specialist | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2022-10-14 |