Provider Demographics
NPI:1942715578
Name:BARRETO, ALICIA ANN (MS SLP)
Entity type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:ANN
Last Name:BARRETO
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:MS
Other - First Name:ALICIA
Other - Middle Name:ANN
Other - Last Name:MAGDALENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:398 MERCED PL
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-5026
Mailing Address - Country:US
Mailing Address - Phone:626-560-8726
Mailing Address - Fax:
Practice Address - Street 1:14532 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-9508
Practice Address - Country:US
Practice Address - Phone:714-529-5022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38060235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist