| Doctor Name: | MRS. DOREEN MARIE LA PORTE |
| NPI Number: | 1184866634 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SP9870 |
| Business Practice Address: | 5842 E Naples Plz Long Beach, CA - 908035039 |
| Business Phone Number: | 5624399539 |
| Business Fax Number: | 5624392232 |
| Mailing Address: | 2923 Claremore Ln, #40 LONG BEACH |
| State: | CA |
| Postal Code: | 908151645 |
| Phone Number: | 9495733559 |
| Fax Number: | 5624392232 |
| NPI Enumeration Date: | 03/30/2009 |
| NPI Last Update Date: | 03/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP9870 |
| 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 |