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JORDAN ACOSTA MS CCC SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1417562208

Individual Registrant:
 JORDAN  ACOSTA MS CCC SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
25102 JEFFERSON AVE STE D  MURRIETA, CA 92562-1708 US
Tel: 951-461-1190  Fax: --

Contact information for business:
25102 JEFFERSON AVE STE D  MURRIETA, CA 92562-1708 US
Tel: --  Fax: --

Registration Information:
NPI: 1417562208
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
CA22452

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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