Lane Holiday Gehres M.S., CCC-SLP

NPI 1770990319 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1770990319
Gender Female
Enumeration Date 07/15/2014
Last Updated 07/15/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
732 CYPRESS RUN
WOODBRIDGE CA, 95258-9184, US
Phone (209) 365-7479
Fax
Business Location
732 CYPRESS RUN
WOODBRIDGE CA, 95258-9184, US
Phone (209) 365-7479
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State California
License Number SP 21368
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According to our database, Lane Holiday Gehres M.S., CCC-SLP NPI is 1770990319, taxonomy code is 235Z00000X and license number is SP 21368, license state is located at California. Lane Holiday Gehres M.S., CCC-SLP physically located at 732 Cypress Run, Woodbridge CA, 95258-9184. NPI Number Lane Holiday Gehres M.S., CCC-SLP has the Individual type.

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1770990319 NPI number is provided on an as is basis without warranty of any kind. 1770990319 is maintained by the National Plan & Provider Enumeration System. The contents of Lane Holiday Gehres M.S., CCC-SLP are for informational purposes only.