Provider Demographics
NPI:1538596002
Name:COLON, ARLENE CORY (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:CORY
Last Name:COLON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:23052 ALICIA PKWY
Mailing Address - Street 2:SUITE H #313
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-1643
Mailing Address - Country:US
Mailing Address - Phone:714-293-8227
Mailing Address - Fax:
Practice Address - Street 1:23052 ALICIA PKWY
Practice Address - Street 2:SUITE H #313
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-1643
Practice Address - Country:US
Practice Address - Phone:714-293-8227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP17685235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist