Lyda Kongswangwongsa
Lyda Kongswangwongsa is a Qualified Speech Language Pathologist in Orange, California. Qualified in 2013, 13 years ago. Practices with Instrumental Speech Language Pathology Professionals Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 13
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
547 W Maple AveOrange, CA 92868-2209
Phone: (909) 636-8125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 21847 (CA) |
|---|
Record details
| NPI number | 1891183422 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 5, 2015 |
| Last updated in NPPES | January 5, 2015 |
Medicare enrollment
| Medicare specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Instrumental Speech Language Pathology Professionals Inc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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