Individual
MRS. COURTNEY LYNN AIVATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
10243 GENETIC CENTER DR, SAN DIEGO, CA 92121
(858) 526-6013
(858) 526-6062
Mailing address
8933 ACTIVITY RD, SAN DIEGO, CA 92126-2600
(858) 586-6823
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22035
CA
Other
Enumeration date
08/01/2013
Last updated
06/11/2018
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