Doctor Name: | KATIE JOSEPHINE SEGUINE |
NPI Number: | 1063703585 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., SLP |
License Number: | 18913 |
Business Practice Address: | 23361 Madero Ste 200 Mission Viejo, CA - 926917952 |
Business Phone Number: | 9495818239 |
Business Fax Number: | 9498590849 |
Mailing Address: | 4301 E 2nd St Unit 2c, LONG BEACH |
State: | CA |
Postal Code: | 908035351 |
Phone Number: | 9495818239 |
Fax Number: | 9498590849 |
NPI Enumeration Date: | 05/02/2011 |
NPI Last Update Date: | 05/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 18913 |
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 |