Facts
- Status
- A
- Credential
- MS, CCC-SLP
- Type
- Individual
- Enumeration date
- 2026-08-06
- Last updated
- 2026-08-06
Specialties
Licenses
- License CA
- 41580
Location
- Practice location
- 602 ORCHARD AVE
- City
- ARROYO GRANDE CA
- Postal code
- 934204000
- Phone
- 805-474-3000
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.