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NPI Code Detail

MEDICARE: ELIZABETH SEGURA SLPA

MEDICARE:   ELIZABETH  SEGURA  SLPA
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
12355S0801XSpeech-Language AssistantSPA7036CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407504244
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SEGURA SLPA
Provider Business Mailing Address
First Line : 4820 REEDER AVE
Second Line :
City : OXNARD
State : CA
Zip : 93033-8036
Country : US
Telephone Number : 805-814-5243
Fax Number :
Provider Business Practice Location Address
First Line : 4675 VIA LOS SANTOS
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93111-1346
Country : US
Telephone Number : 805-637-5272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2022
Last Update Date : 03/11/2022

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Directions to “ ELIZABETH SEGURA SLPA” Practice Location

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