MEDICARE: MARIA ACOSTA-SNUSTEAD

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	21300	CA

General Provider Information

NPI Number	:	1659205912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ACOSTA-SNUSTEAD

Provider Business Mailing Address
First Line	:	25107 PENNSYLVANIA AVE
Second Line	:
City	:	LOMITA
State	:	CA
Zip	:	90717-2021
Country	:	US
Telephone Number	:	310-951-7884
Fax Number	:

Provider Business Practice Location Address
First Line	:	25107 PENNSYLVANIA AVE
Second Line	:
City	:	LOMITA
State	:	CA
Zip	:	90717-2021
Country	:	US
Telephone Number	:	310-951-7884
Fax Number	:

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

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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Directions to “ MARIA ACOSTA-SNUSTEAD ” Practice Location

Language	Start Address	Practice Location

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