Individual
ANN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17609 VENTURA BLVD STE 215, ENCINO, CA 91316-5126
(818) 501-8352
Mailing address
17609 VENTURA BLVD STE 215, ENCINO, CA 91316-5126
(818) 501-8352
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/23/2014
Last updated
10/24/2021
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