Dareth Michelle Trice, MS CCC-SLP
Speech-Language Pathologist, in Los Angeles, CA. Individual provider (NPI-1).
NPI number1073813614
StatusActive
Last updated in NPPESOct 29, 2010
Details
- NPI
- 1073813614
- Entity type
- Individual (NPI-1)
- Name
- Dareth Michelle Trice
- Credential
- MS CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2010
- Last updated
- Oct 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 15339 | CA | Yes |
Practice location
13101 W Washington Blvd # 465Los Angeles, CA 90066-5131
Phone 310-867-3818 · Fax 310-388-0817
Mailing address
13101 W Washington Blvd # 465Los Angeles, CA 90066-5131
Phone 310-867-3818 · Fax 310-388-0817
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