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JORDAN ACOSTA MS CCC SLP
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1417562208
Individual Registrant: JORDAN ACOSTA MS CCC SLP
Gender: F
Sole Proprietor
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: --
Tel: 951-461-1190 Fax: --
Contact information for business:
25102 JEFFERSON AVE STE D MURRIETA, CA 92562-1708 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1417562208
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | CA | 22452 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
