Provider Demographics
NPI:1376998880
Name:LUONG, CATHY
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:LUONG
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 1:14501 MAGNOLIA ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-1306
Mailing Address - Country:US
Mailing Address - Phone:714-891-0080
Mailing Address - Fax:714-891-0040
Practice Address - Street 1:14501 MAGNOLIA ST
Practice Address - Street 2:SUITE 104
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-1306
Practice Address - Country:US
Practice Address - Phone:714-891-0080
Practice Address - Fax:714-891-0040
Is Sole Proprietor?:No
Enumeration Date:2016-05-03
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASPA30602355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant