Provider Demographics
NPI:1972126100
Name:VALENTE, LOUISE DOYLE (MSPA-CCC)
Entity Type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:DOYLE
Last Name:VALENTE
Suffix:
Gender:F
Credentials:MSPA-CCC
Other - Prefix:MS
Other - First Name:LOUISE
Other - Middle Name:MARIE
Other - Last Name:DOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPA-CCC
Mailing Address - Street 1:14252 CULVER DR # 146
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-0317
Mailing Address - Country:US
Mailing Address - Phone:714-731-6630
Mailing Address - Fax:
Practice Address - Street 1:5130 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-4130
Practice Address - Country:US
Practice Address - Phone:714-731-6630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5838235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist