Healthcare Provider Details

I. General information

NPI: 1750149902
Provider Name (Legal Business Name): JOCELYN BARRON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOCELYN BARRON JOCELYN BARRON SLPA

II. Dates (important events)

Enumeration Date: 03/12/2024
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 CENTERPOINTE DR STE 700
LA PALMA CA
90623-2545
US

IV. Provider business mailing address

3687 STICHMAN AVE
BALDWIN PARK CA
91706-5311
US

V. Phone/Fax

Practice location:
  • Phone: 626-376-3936
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number8504
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: