Doctor Name: | RYAN STURGIS |
NPI Number: | 1508215070 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CF-SLP |
License Number: | RPE 10102 |
Business Practice Address: | 29377 Rancho California Rd Ste 102 Temecula, CA - 925915206 |
Business Phone Number: | 9515954673 |
Business Fax Number: | 9515954301 |
Mailing Address: | 29377 Rancho California Rd Ste 102, TEMECULA |
State: | CA |
Postal Code: | 925915206 |
Phone Number: | 9515954673 |
Fax Number: | 9515954301 |
NPI Enumeration Date: | 06/06/2016 |
NPI Last Update Date: | 06/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | RPE 10102 |
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 |