Individual provider · Type 1 NPI

Ivonne De Carlo Fuller, M.S

Speech-Language Pathologist · Baldwin Park, CA

NPI number 1679859631 Active

Practice location

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806

Mailing address

14008 Rockenbach St
Baldwin Park, CA 91706-2463

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X20326 (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 1679859631

Ivonne De Carlo Fuller, M.S's National Provider Identifier is 1679859631, issued on Oct 21, 2011. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Baldwin Park, CA. The record was last updated on Dec 16, 2021.