Healthcare Provider Details

I. General information

NPI: 1477498483
Provider Name (Legal Business Name): ZOE DE VENTURE MS SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 GUM TREE LN
FALLBROOK CA
92028-5507
US

IV. Provider business mailing address

3524 ROSELLE ST
OCEANSIDE CA
92056-3824
US

V. Phone/Fax

Practice location:
  • Phone: 760-731-4340
  • Fax:
Mailing address:
  • Phone: 760-936-1676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: