Provider Demographics
NPI:1851174106
Name:TRAN, PATRICIA HOPE THOMPSON (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:HOPE THOMPSON
Last Name:TRAN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:HOPE
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2790 DOVE TAIL DR
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-0931
Mailing Address - Country:US
Mailing Address - Phone:858-405-0395
Mailing Address - Fax:
Practice Address - Street 1:1840 WEST DR
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-6115
Practice Address - Country:US
Practice Address - Phone:619-205-4585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13854235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist