Individual
ASHLEIGH R FEDERICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 LAWRENCE DR, THOUSAND OAKS, CA 91320-2208
(818) 708-2298
Mailing address
2883 CORTO ST, SIMI VALLEY, CA 93065-5201
(805) 990-8414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
235Z00000X
CA
Other
Enumeration date
01/22/2024
Last updated
04/04/2024
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