Provider Demographics
NPI:1003105123
Name:PEREZ DE ARGUMANIZ, MONICA J (BA, SLP-A)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:J
Last Name:PEREZ DE ARGUMANIZ
Suffix:
Gender:F
Credentials:BA, SLP-A
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:J
Other - Last Name:PEREZ DE ARGUMANIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, SLP-A
Mailing Address - Street 1:12407 ASPENVIEW CIRCLE
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392
Mailing Address - Country:US
Mailing Address - Phone:213-210-6942
Mailing Address - Fax:
Practice Address - Street 1:16785 BEAR VALLEY RD
Practice Address - Street 2:#2
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-0825
Practice Address - Country:US
Practice Address - Phone:760-948-0702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171R00000X
CA711A2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
No171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0197503OtherDEPARTMENT OF SOCIAL SERVICES AND DISABILITY DETERMINATION SERVICE VENDOR NUMBER
CA711AOtherASHA SLPA LICENCE