Provider Demographics
NPI:1659680148
Name:SYNERGY THERAPY SERVICES
Entity Type:Organization
Organization Name:SYNERGY THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:SP
Authorized Official - Phone:714-289-1418
Mailing Address - Street 1:950 E KATELLA AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-5036
Mailing Address - Country:US
Mailing Address - Phone:714-289-1418
Mailing Address - Fax:
Practice Address - Street 1:950 E KATELLA AVE STE 3
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-5036
Practice Address - Country:US
Practice Address - Phone:714-289-1418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty