Provider Demographics
NPI:1457186934
Name:TORRES, GEORGINA (SLPA)
Entity type:Individual
Prefix:
First Name:GEORGINA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 RIDGEHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-6214
Mailing Address - Country:US
Mailing Address - Phone:562-397-4126
Mailing Address - Fax:
Practice Address - Street 1:730 RIDGEHAVEN DR
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-6214
Practice Address - Country:US
Practice Address - Phone:562-397-4126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88642355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant