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LIDA SUAN ABRAHAM SPEECH PATHOLOGIST
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1104104538
Individual Registrant: LIDA SUAN ABRAHAM SPEECH PATHOLOGIST
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
706 N DIAMOND BAR BLVD STE B DIAMOND BAR, CA 91765-1059 US
Tel: 909-396-8900 Fax: 909-396-9900
Tel: 909-396-8900 Fax: 909-396-9900
Contact information for business:
706 N DIAMOND BAR BLVD STE B DIAMOND BAR, CA 91765-1059 US
Tel: 909-396-8900 Fax: 909-396-9900
Tel: 909-396-8900 Fax: 909-396-9900
Registration Information:
NPI: 1104104538
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 | 17413 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
