| Doctor Name: | ANITA PACHECO |
| NPI Number: | 1366737017 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 8899 |
| Business Practice Address: | 7625 Paragon Rd Suite C Dayton, OH - 454594067 |
| Business Phone Number: | 8774806398 |
| Business Fax Number: | 8774706398 |
| Mailing Address: | 200 Valley Station Cir, BUELLTON |
| State: | CA |
| Postal Code: | 934279587 |
| Phone Number: | 8052523010 |
| Fax Number: | 8774706398 |
| NPI Enumeration Date: | 06/10/2011 |
| NPI Last Update Date: | 06/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 8899 |
| 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 |