Doctor Name: | REBECCA SWIG THORSEN |
NPI Number: | 1235427147 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 12193 |
Business Practice Address: | 3816 Woodruff Ave Suite 201 Long Beach, CA - 90808 |
Business Phone Number: | 7142258634 |
Business Fax Number: | 5625978747 |
Mailing Address: | 3816 Woodruff Ave, Suite 201 LONG BEACH |
State: | CA |
Postal Code: | 90808 |
Phone Number: | 7142258634 |
Fax Number: | 5625978747 |
NPI Enumeration Date: | 07/12/2011 |
NPI Last Update Date: | 05/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12193 |
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 |