Provider Demographics
NPI:1801039771
Name:NUNEZ, PATRICIA (SPA 834)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:SPA 834
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1461 E 4TH ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701
Mailing Address - Country:US
Mailing Address - Phone:714-835-5587
Mailing Address - Fax:714-835-5930
Practice Address - Street 1:1461 E 4TH ST
Practice Address - Street 2:SUITE 150
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701
Practice Address - Country:US
Practice Address - Phone:714-835-5587
Practice Address - Fax:714-835-5930
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASPA8342355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant