Search › California › 2355S0801X
Stephanie Distelrath, SLPA
NPI 1407414287 · on the registry since 2019
Practice
- Address
- 410 E Merced Ave Ste E
West Covina, CA 91790 - Phone
- (909) 331-7693
- Organisation at this address
- Thomas V Deguzman, Pt, A Professional Corp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 2355S0801X
2355S0801X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-06-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California