Doctor Name: | MEGAN R GAMBINO |
NPI Number: | 1396106605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 23910 |
Business Practice Address: | 28780 Single Oak Dr Suite 290 Temecula, CA - 925903625 |
Business Phone Number: | 9516935871 |
Business Fax Number: | 9516935872 |
Mailing Address: | 24630 Washington Ave, Suite 200 MURRIETA |
State: | CA |
Postal Code: | 925626131 |
Phone Number: | 9516969353 |
Fax Number: | 9519737216 |
NPI Enumeration Date: | 03/14/2016 |
NPI Last Update Date: | 03/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 23910 |
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 |