MEDICARE: ERMILITA BRUCE M.S., CCC-SLP, ASDCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP12288	CA

General Provider Information

NPI Number	:	1336085471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERMILITA BRUCE M.S., CCC-SLP, ASDCS

Provider Business Mailing Address
First Line	:	1511 MYRTLE AVE
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94558-4768
Country	:	US
Telephone Number	:	707-637-7741
Fax Number	:

Provider Business Practice Location Address
First Line	:	1511 MYRTLE AVE
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94558-4768
Country	:	US
Telephone Number	:	707-637-7741
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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Directions to “ ERMILITA BRUCE M.S., CCC-SLP, ASDCS” Practice Location

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