Provider Demographics
NPI:1194461897
Name:UNIVERSAL CONNECTIONS
Entity Type:Organization
Organization Name:UNIVERSAL CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:LEEANN
Authorized Official - Last Name:TOLO
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:714-481-2034
Mailing Address - Street 1:41 WINTERMIST
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-7518
Mailing Address - Country:US
Mailing Address - Phone:714-481-2034
Mailing Address - Fax:714-551-1233
Practice Address - Street 1:1801 PARK COURT PL STE E107
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-5027
Practice Address - Country:US
Practice Address - Phone:714-481-2034
Practice Address - Fax:714-551-1233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty