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NPI Code Detail

MEDICARE: DAVID LAMAR DEAN CCC-SLP

MEDICARE: DAVID LAMAR DEAN CCC-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
1235Z00000XSpeech-Language Pathologist27173CA

General Provider Information

NPI Number : 1538679105
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID LAMAR DEAN CCC-SLP
Provider Business Mailing Address
First Line : 3350 SHELBY ST STE 200
Second Line :
City : ONTARIO
State : CA
Zip : 91764-5556
Country : US
Telephone Number : 843-754-0124
Fax Number : 909-781-2445
Provider Business Practice Location Address
First Line : 3350 SHELBY ST STE 200
Second Line :
City : ONTARIO
State : CA
Zip : 91764-5556
Country : US
Telephone Number : 843-754-0124
Fax Number : 909-781-2445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2017
Last Update Date : 12/08/2021

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Directions to “ DAVID LAMAR DEAN CCC-SLP” Practice Location

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