Distelrath, Stephanie Grace

Distelrath, Stephanie Grace is an individual health care provider with primary practice located at 410 E Merced Ave Ste E , West Covina CA 91790-5058. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Distelrath, Stephanie Grace can be contacted via phone (909) 331-7693.

Contact Information

Primary practice address
410 E Merced Ave Ste E West Covina CA 91790-5058
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 1447 California

Profile Details

NPI number 1407414287
LBN Legal business name Distelrath, Stephanie Grace
Credentials SLPA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2019
Last updated Jun 5th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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