Provider Demographics
NPI:1902516321
Name:CORONA, NATALIE (SPEECH ASSISTANT)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:CORONA
Suffix:
Gender:F
Credentials:SPEECH ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 LAS RIENDAS DR APT F4
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-7513
Mailing Address - Country:US
Mailing Address - Phone:951-235-1124
Mailing Address - Fax:
Practice Address - Street 1:500 W CENTRAL AVE
Practice Address - Street 2:UNIT B
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-3036
Practice Address - Country:US
Practice Address - Phone:714-529-5022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20812355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant