Nicole K Basua, M.S., CF-SLP
Speech-Language Pathologist, in Orange, CA. Individual provider (NPI-1).
NPI number1386015873
StatusActive
Last updated in NPPESOct 9, 2015
Details
- NPI
- 1386015873
- Entity type
- Individual (NPI-1)
- Name
- Nicole K Basua
- Credential
- M.S., CF-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2015
- Last updated
- Oct 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 10257 | CA | Yes |
Practice location
1835 W La Veta AveOrange, CA 92868-4132
Phone 714-978-6800
Mailing address
1835 W La Veta AveOrange, CA 92868-4132
Phone 714-978-6800
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