Healthcare Provider Details

I. General information

NPI: 1821935297
Provider Name (Legal Business Name): CYNTHIA SORIANO SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 S SUTTER ST
STOCKTON CA
95206-2004
US

IV. Provider business mailing address

112 W JEFFERSON ST
STOCKTON CA
95206-1214
US

V. Phone/Fax

Practice location:
  • Phone: 209-933-7020
  • Fax:
Mailing address:
  • Phone: 209-933-7020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number8395
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: