Doctor Name: | MRS. CYNTHIA SANDOVAL |
NPI Number: | 1063652808 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SP 17622 |
Business Practice Address: | 1301 W Providence Ave Orange, CA - 928683808 |
Business Phone Number: | 7146394990 |
Business Fax Number: | 7146392593 |
Mailing Address: | 1294 Bathport Way, CORONA |
State: | CA |
Postal Code: | 928810999 |
Phone Number: | 9513471691 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2009 |
NPI Last Update Date: | 12/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 17622 |
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 |