Individual provider · Type 1 NPI

Evelyn Divinagracia, M.S. CCC-SLP

Speech-Language Pathologist · Tustin, CA

NPI number 1104358175 Active

Practice location

3002 Dow Ave, 114
Tustin, CA 92780-7233

Call (714) 731-4668 Map

Mailing address

1262 Magnolia Dr
Carson, CA 90746-7405

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X18689 (CA)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1104358175

Evelyn Divinagracia, M.S. CCC-SLP's National Provider Identifier is 1104358175, issued on Mar 29, 2017. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Tustin, CA. The record was last updated on Mar 29, 2017.