Provider Demographics
NPI:1215794938
Name:CRISTANI, ELIZABETH ORDORICA (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ORDORICA
Last Name:CRISTANI
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11102 EL REY DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-1420
Mailing Address - Country:US
Mailing Address - Phone:562-650-3811
Mailing Address - Fax:
Practice Address - Street 1:11102 EL REY DR
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-1420
Practice Address - Country:US
Practice Address - Phone:562-650-3811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22172235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist