Provider Demographics
NPI:1578928610
Name:VIRAMONTES, CELESTE (SLP-A)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:
Last Name:VIRAMONTES
Suffix:
Gender:F
Credentials:SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5882 SHIRL ST
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-3327
Mailing Address - Country:US
Mailing Address - Phone:562-355-5880
Mailing Address - Fax:
Practice Address - Street 1:5882 SHIRL ST
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-3327
Practice Address - Country:US
Practice Address - Phone:562-355-5880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21042355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant