Individual
JESSICA OKHOVAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
4324 LOUISE AVE, ENCINO, CA 91316-3916
(818) 383-4912
Mailing address
4324 LOUISE AVE, ENCINO, CA 91316-3916
(818) 383-4912
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
1919
CA
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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