| Organization Name: | COAST SPEECH PATHOLOGY & ASSOCIATES |
| NPI Number: | 1750572814 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN E GLANCE (SPEECH PATHOLOGIST) |
| Mailing Address: | 12777 Valley View St Ste 212 Garden Grove |
| State: | CA US |
| Postal Code: | 928452522 |
| Phone Number: | 7143010048 |
| Fax Number: | 7148923040 |
| NPI Enumeration Date: | 08/05/2007 |
| NPI Last Update Date: | 08/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 5116 |
| 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 |