Basic Information
| Provider Information | |||||||||
| NPI: | 1245422914 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TEMPLETON | ||||||||
| FirstName: | DENISE | ||||||||
| MiddleName: | JAMES | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1363 MILBURN AVE | ||||||||
| Address2: | |||||||||
| City: | REDLANDS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 923734478 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9097939720 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 9227 HAVEN AVE | ||||||||
| Address2: | |||||||||
| City: | RANCHO CUCAMONGA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917305420 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8006425031 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2007 | ||||||||
| LastUpdateDate: | 08/15/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 10746 | CA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.