Individual
AFSOUN DELSHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10780 SANTA MONICA BLVD, LOS ANGELES, CA 90025-4749
(310) 234-0300
Mailing address
10587 HOLMAN AVE, LOS ANGELES, CA 90024-6043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
CA
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NAA
—
Enumeration date
08/14/2019
Last updated
08/14/2019
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