MEDICARE: SYNERGY THERAPY SERVICES

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	:	1659680148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNERGY THERAPY SERVICES

Provider Business Mailing Address
First Line	:	950 E KATELLA AVE STE 3
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92867-5036
Country	:	US
Telephone Number	:	714-289-1418
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 E KATELLA AVE STE 3
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92867-5036
Country	:	US
Telephone Number	:	714-289-1418
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SUSAN MENDOZA
Credential	:	SP
Telephone Number	:	714-289-1418

Provider Enumeration Date	:	09/30/2010
Last Update Date	:	07/03/2020

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Directions to “SYNERGY THERAPY SERVICES ” Practice Location

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