Doctor Name: | MICHELE DIANE LINDQUIST |
NPI Number: | 1316068992 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.CCC-SLP |
License Number: | SP 11022 |
Business Practice Address: | 23781 Maquina Mission Viejo, CA - 926912716 |
Business Phone Number: | 9494554287 |
Business Fax Number: | |
Mailing Address: | 24452 Chamalea, MISSION VIEJO |
State: | CA |
Postal Code: | 926914821 |
Phone Number: | 9494609333 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 11022 |
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 |