Doctor Name: | MS. HEIDI L CORDINA |
NPI Number: | 1992924955 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.L.P |
License Number: | SP11555 |
Business Practice Address: | 10841 White Oak Ave Suite 208 Rancho Cucamonga, CA - 917303811 |
Business Phone Number: | 9099480411 |
Business Fax Number: | 9099480511 |
Mailing Address: | 1230 E Washington St, Suite 2 COLTON |
State: | CA |
Postal Code: | 923246450 |
Phone Number: | 9098256716 |
Fax Number: | 9098254339 |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP11555 |
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 |