Healthcare Provider Details

I. General information

NPI: 1972328383
Provider Name (Legal Business Name): UMBRELLA SPEECH PATHOLOGY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81557 DR CARREON BLVD STE B3
INDIO CA
92201-5562
US

IV. Provider business mailing address

81557 DR CARREON BLVD STE B3
INDIO CA
92201-5562
US

V. Phone/Fax

Practice location:
  • Phone: 760-972-4041
  • Fax: 760-249-7030
Mailing address:
  • Phone: 760-972-4041
  • Fax: 760-249-7030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIA TERRIQUEZ CHUO
Title or Position: CEO
Credential: SLPD
Phone: 760-391-8342