Provider Demographics
NPI:1144077264
Name:AFFINITY THERAPY SOLUTIONS
Entity type:Organization
Organization Name:AFFINITY THERAPY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC- SLP/ CEO
Authorized Official - Phone:760-983-6942
Mailing Address - Street 1:18088 MARINER DRIVE
Mailing Address - Street 2:7617 SVL BOX
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395
Mailing Address - Country:US
Mailing Address - Phone:760-983-6942
Mailing Address - Fax:
Practice Address - Street 1:16209 KAMANA RD STE 107
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-1394
Practice Address - Country:US
Practice Address - Phone:760-983-6942
Practice Address - Fax:760-979-1776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty