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Contact Information

COACHELLA VALLEY LIGHTHOUSE
78900 AVENUE 47
SUITE 105
LA QUINTA, CA92253-2070
 Phone: 760-625-0951
 Fax: 760-564-5049
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

School

103TS0200X 62 Psychologist, Clinical
 

Speech-Language Assistant

2355S0801X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for COACHELLA VALLEY LIGHTHOUSE · (Female)

NPI # 1427319573
Status Active
Credentials
Entity Individual
Enumeration date 06/05/2012
Last updated 05/18/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # LEP3111
  • FL License # 1-12-10337
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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