Individual
GABRIELA PORTAN-ASCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 SAND CREEK RD, ANTIOCH, CA 94531-8687
(925) 813-6240
Mailing address
1836 SANTA FE ST, OAKLEY, CA 94561-1650
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3927
CA
235Z00000X
Speech-Language Pathologist
Primary
41443
CA
Other
Enumeration date
05/13/2020
Last updated
05/28/2026
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