Provider Demographics
NPI:1700170214
Name:DELGADO, NORA MARISA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:NORA
Middle Name:MARISA
Last Name:DELGADO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 W WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-4642
Mailing Address - Country:US
Mailing Address - Phone:323-726-8080
Mailing Address - Fax:323-726-8081
Practice Address - Street 1:1221 W WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4642
Practice Address - Country:US
Practice Address - Phone:323-726-8080
Practice Address - Fax:323-726-8081
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14370235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist