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General NPI Number Information
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NPI Number | 1972328383
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Entity Type | Organization
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Legal Business Name | UMBRELLA SPEECH PATHOLOGY, PC
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 81557 DR CARREON BLVD STE B3
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City | INDIO
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State | CA
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Zip | 92201-5562
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Country | US
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Telephone | 760-972-4041
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Fax | 760-249-7030
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Provider Business Mailing Address
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Address Line | 81557 DR CARREON BLVD STE B3
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City | INDIO
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State | CA
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Zip | 92201-5562
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Country | US
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Telephone | 760-972-4041
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Fax | 760-249-7030
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Authorized Official
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Title or Position | CEO
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Name | MARIA TERRIQUEZ CHUO
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Credential | SLPD
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Telephone | 760-391-8342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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Taxonomy #4
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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