Provider Demographics
NPI:1548276926
Name:ESPINOZA, ALLISON HOPE (MA)
Entity type:Individual
Prefix:MISS
First Name:ALLISON
Middle Name:HOPE
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 WEST ADAMS BLVD.
Mailing Address - Street 2:CRAINOFACIAL CLEFT PALATE CLINIC 4TH FLOOR
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90007-2629
Mailing Address - Country:US
Mailing Address - Phone:213-742-1433
Mailing Address - Fax:
Practice Address - Street 1:403 WEST ADAMS BLVD.
Practice Address - Street 2:CRAINOFACIAL CLEFT PALATE CLINIC 4TH FLOOR
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90007-2629
Practice Address - Country:US
Practice Address - Phone:213-742-1433
Practice Address - Fax:213-742-1496
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP14300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist