MEDICARE: ADRIENNE RZEPNICK MA CCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	4465	CA

General Provider Information

NPI Number	:	1013174515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIENNE RZEPNICK MA CCC

Provider Business Mailing Address
First Line	:	18017 SKY PARK CIR STE G
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92614-6578
Country	:	US
Telephone Number	:	949-929-5465
Fax Number	:	949-737-1777

Provider Business Practice Location Address
First Line	:	18017 SKY PARK CIR STE G
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92614-6578
Country	:	US
Telephone Number	:	949-929-5465
Fax Number	:	949-737-1777

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2008
Last Update Date	:	11/04/2023

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Directions to “ ADRIENNE RZEPNICK MA CCC” Practice Location

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