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NPI Code Detail

MEDICARE: TRICIA DEFIORE CCC-SLP

MEDICARE: TRICIA DEFIORE CCC-SLP
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
1235Z00000XSpeech-Language Pathologist33095CA

General Provider Information

NPI Number : 1881202687
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRICIA DEFIORE CCC-SLP
Provider Business Mailing Address
First Line : 1074 MIRAMONTE DR APT 1
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93109-1318
Country : US
Telephone Number : 585-201-6705
Fax Number :
Provider Business Practice Location Address
First Line : 10780 SANTA MONICA BLVD STE 405
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-7655
Country : US
Telephone Number : 310-234-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2020
Last Update Date : 02/09/2023

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Directions to “ TRICIA DEFIORE CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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