MEDICARE: CHRISTINE ALCAN SLP

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

General Provider Information

NPI Number	:	1457744757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE ALCAN SLP

Provider Business Mailing Address
First Line	:	10361 VULTEE AVE
Second Line	:
City	:	DOWNEY
State	:	CA
Zip	:	90241-2755
Country	:	US
Telephone Number	:	562-714-5230
Fax Number	:

Provider Business Practice Location Address
First Line	:	3111 SANTA ANITA AVE
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91733-1357
Country	:	US
Telephone Number	:	626-443-0218
Fax Number	:

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

Provider Enumeration Date	:	03/10/2015
Last Update Date	:	03/10/2015

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Directions to “ CHRISTINE ALCAN SLP” Practice Location

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