Healthcare Provider Details

I. General information

NPI: 1982123071
Provider Name (Legal Business Name): CONSTANZA C ARANEDA SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CONSTANZA C STOKEBRAND SLPA

II. Dates (important events)

Enumeration Date: 09/11/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8933 PANAMA ROAD SUITE 101
LAMONT CA
93241
US

IV. Provider business mailing address

8933 PANAMA ROAD SUITE 101
LAMONT CA
93241
US

V. Phone/Fax

Practice location:
  • Phone: 661-735-7422
  • Fax: 661-735-5876
Mailing address:
  • Phone: 661-735-7422
  • Fax: 661-735-5876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number3547
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: