Provider Demographics
NPI:1598961906
Name:ORRANTE, REBECCA (MS, CCC)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:ORRANTE
Suffix:
Gender:F
Credentials:MS, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90732-3210
Mailing Address - Country:US
Mailing Address - Phone:310-519-9151
Mailing Address - Fax:310-265-9014
Practice Address - Street 1:609 DEEP VALLEY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-3629
Practice Address - Country:US
Practice Address - Phone:310-265-9015
Practice Address - Fax:310-265-9014
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11354235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist