Provider Demographics
NPI:1306600838
Name:DUARTE, CINDY DANIELA
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:DANIELA
Last Name:DUARTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8103 LENNOX AVE
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-5228
Mailing Address - Country:US
Mailing Address - Phone:818-658-6165
Mailing Address - Fax:
Practice Address - Street 1:16255 VENTURA BLVD STE 1015
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2318
Practice Address - Country:US
Practice Address - Phone:818-646-0429
Practice Address - Fax:833-741-7014
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85032355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant