Community Speech Center Of Upland

NPI 1093859084 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1093859084
Enumeration Date 02/16/2007
Last Updated 05/25/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARY ELIZABETH MARY
Position SPEECH PATHOLOGIST
Phone (909) 626-7900
Fax (909) 626-7977
Practice Location
4959 PALO VERDE ST STE 101C
MONTCLAIR CA, 91763-2358, US
Phone (909) 626-7900
Fax (909) 626-7977
Business Location
1681 GLENWOOD AVE
UPLAND CA, 91784-8801, US
Phone (909) 946-2039
Fax (909) 981-2638
Toxanomy
Taxonomy Code 235Z00000X
License State California
License Number SP 1902
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According to our database, Community Speech Center Of Upland NPI is 1093859084, taxonomy code is 235Z00000X and license number is SP 1902, license state is located at California. Community Speech Center Of Upland physically located at 4959 Palo Verde St Ste 101c, Montclair CA, 91763-2358. NPI Number 1033115704 has the healthcare provider type.

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1093859084 NPI number is provided on an as is basis without warranty of any kind. 1093859084 is maintained by the National Plan & Provider Enumeration System. The contents of Community Speech Center Of Upland are for informational purposes only.