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ELLEN BUSTAMANTE MA CCC-SLP NPI 1619405214


NPI Information

NPI: 1619405214
Provider Name: ELLEN BUSTAMANTE, MA, CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
255 E BONITA AVE
POMONA, CA
ZIP 91767
Phone: (909) 596-7733
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Ellen Bustamante, MA, CCC-SLP is a speech language pathologist in Pomona, CA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Ellen Bustamante, MA, CCC-SLP NPI is 1619405214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

255 E BONITA AVE
POMONA, CA
ZIP 91767-923
Phone: (909) 596-7733

The enumeration date for this NPI number is 5/25/2017 and was last updated on 11/8/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist22155CALIFORNIANo
2235Z00000XSpeech-Language Pathologist2254NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
122155OTHERCALIFORNIASLP STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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