Provider Demographics
NPI:1376970392
Name:TOLENTINO, JOAN BARRO
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:BARRO
Last Name:TOLENTINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1844 E AVENUE J2
Mailing Address - Street 2:UNIT 1
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-5031
Mailing Address - Country:US
Mailing Address - Phone:415-235-4489
Mailing Address - Fax:
Practice Address - Street 1:1844 E AVENUE J2
Practice Address - Street 2:UNIT 1
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-5031
Practice Address - Country:US
Practice Address - Phone:415-235-4489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15442355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant