| NPI | 1477097657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CHASE Owner 714-478-1482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO SLP0000936) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |