Doctor Name: | FRANCESCA COSTILLA |
NPI Number: | 1972741544 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MC,CCC-SLP |
License Number: | SP16609 |
Business Practice Address: | 980 Roosevelt Suite 100 Irvine, CA - 926203670 |
Business Phone Number: | 9493336455 |
Business Fax Number: | |
Mailing Address: | 133 45th St, Apt. B NEWPORT BEACH |
State: | CA |
Postal Code: | 926632512 |
Phone Number: | 6463455255 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2009 |
NPI Last Update Date: | 02/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP16609 |
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 |