Doctor Name: | HEATHER ARESHENKO |
NPI Number: | 1003283292 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 20496 |
Business Practice Address: | 3900 Birch St Suite 103 Newport Beach, CA - 926602209 |
Business Phone Number: | 9498366717 |
Business Fax Number: | |
Mailing Address: | Po Box 11956, COSTA MESA |
State: | CA |
Postal Code: | 926270348 |
Phone Number: | 9498366717 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2015 |
NPI Last Update Date: | 08/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 20496 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |