| Providence Speech And Hearing Center | |
|
17075 Bushard St, Fountain Valley, CA 92708-2836 | |
| (855) 901-7742 | |
| Not Available |
| Full Name | Providence Speech And Hearing Center |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 17075 Bushard St, Fountain Valley, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083264196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Speech And Hearing Center 3301 Michelson Dr Apt 3303, Irvine, CA 92612-4320 Ph: (909) 896-3003 | Providence Speech And Hearing Center 17075 Bushard St, Fountain Valley, CA 92708-2836 Ph: (855) 901-7742 |
Kristin Elizabeth Pitera, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18576 Morongo St, Fountain Valley, CA 92708 Phone: 714-791-7210 | |
Ms. Lindsay Kathryn Shaw, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18350 Mount Langley St, #105, Fountain Valley, CA 92708 Phone: 714-965-2324 Fax: 714-965-2684 | |
Mrs. Amy Deeb, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 17075 Bushard St, Fountain Valley, CA 92708 Phone: 855-901-7742 | |
Betty Chien Lee, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 714-966-3383 | |
Alicia Carroll, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11037 Warner Ave, #339, Fountain Valley, CA 92708 Phone: 503-298-5359 Fax: 949-253-4627 | |
Miss Eileen Kay Morrissey, M.S. CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18350 Mount Langley St Ste 105, Fountain Valley, CA 92708 Phone: 714-965-2324 Fax: 714-965-2684 |