Provider Demographics
NPI:1518581594
Name:DAVID, FRANCIS (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:DAVID
Suffix:
Gender:M
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9140 HEATHER ST
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-4826
Mailing Address - Country:US
Mailing Address - Phone:626-524-2848
Mailing Address - Fax:
Practice Address - Street 1:9140 HEATHER ST
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91701-4826
Practice Address - Country:US
Practice Address - Phone:626-524-2848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17088235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist