Most Relevant Information
Provider Data
| NPI Number: | 1003299041 |
| Provider Name: | DEANNA JOY ACOSTA MA, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 23112 |
Most Important Dates
| Enumeration Date: | 07/08/2015 |
| Last Updated: | 05/27/2024 |
Provider Practice Location
1081 N CHINA LAKE BLVD
RIDGECREST
CA
935553130
Practice Location Phone/Fax
| Phone: | 7604993389 |
| Fax: |
Provider Mailing Location
1081 N CHINA LAKE BLVD
RIDGECREST
CA
935553130
Provider Mailing Phone/Fax
| Phone: | 7604993389 |
| Fax: |