Doctor Name: | MRS. CAROLYN MARIE PEARCE |
NPI Number: | 1609138114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | SP 14562 |
Business Practice Address: | 12062 Valley View St Suite 137 Garden Grove, CA - 928451737 |
Business Phone Number: | 7149011518 |
Business Fax Number: | 7149011359 |
Mailing Address: | 2701 E Jackson Ave, ORANGE |
State: | CA |
Postal Code: | 928676258 |
Phone Number: | 7146029717 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2012 |
NPI Last Update Date: | 06/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 14562 |
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 |