Provider Demographics
NPI:1558717470
Name:RINER-COSTANTINO, EMILY KATHLEEN (SLPA)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:KATHLEEN
Last Name:RINER-COSTANTINO
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27200 TOURNEY RD
Mailing Address - Street 2:SUITE 255
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-4990
Mailing Address - Country:US
Mailing Address - Phone:661-222-9901
Mailing Address - Fax:661-222-9326
Practice Address - Street 1:27200 TOURNEY RD
Practice Address - Street 2:SUITE 255
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4990
Practice Address - Country:US
Practice Address - Phone:661-222-9901
Practice Address - Fax:661-222-9326
Is Sole Proprietor?:No
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36552355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant