Individual provider · Type 1 NPI
Lillian Marie Moreno
Speech-Language Assistant · Fullerton, CA
NPI number
1629989504
Active
Practice location
725 San Ramon Dr
Fullerton, CA 92835-1238
Mailing address
2610 Associated Rd Apt A1
Fullerton, CA 92835-3228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 8824 (CA) |
Speech-Language Assistant: Definition to come...
3 other providers at this address
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About NPI 1629989504
Lillian Marie Moreno's National Provider Identifier is 1629989504, issued on Sep 17, 2026. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Fullerton, CA. The record was last updated on Sep 17, 2026.