Provider Demographics
NPI:1316279524
Name:FRISANCHO, KHARINA BEATRIZ (SPA 750)
Entity type:Individual
Prefix:MISS
First Name:KHARINA
Middle Name:BEATRIZ
Last Name:FRISANCHO
Suffix:
Gender:F
Credentials:SPA 750
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 N 4TH ST
Mailing Address - Street 2:APT. 234
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-3639
Mailing Address - Country:US
Mailing Address - Phone:917-495-9879
Mailing Address - Fax:
Practice Address - Street 1:525 N 4TH ST
Practice Address - Street 2:APT. 234
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-3639
Practice Address - Country:US
Practice Address - Phone:917-495-9879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7502355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant