Provider Demographics
NPI:1518653518
Name:DUMPIT, RICKY (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RICKY
Middle Name:
Last Name:DUMPIT
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 1:17314 JANELL AVE
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-1858
Mailing Address - Country:US
Mailing Address - Phone:562-746-8655
Mailing Address - Fax:
Practice Address - Street 1:17314 JANELL AVE
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-1858
Practice Address - Country:US
Practice Address - Phone:562-860-1569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21327235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist