Individual
ASHLEY ROSE GOUSSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
9834 GENESEE AVE, LA JOLLA, CA 92037-1223
(858) 626-4444
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 686-4444
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
030803
NY
235Z00000X
Speech-Language Pathologist
Primary
SLP33713
CA
Other
Enumeration date
08/09/2021
Last updated
08/10/2022
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