Individual
GISELE MARIE PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC SP
Contact information
Practice address
50 E FOOTHILL BLVD, ARCADIA, CA 91006-2314
(626) 445-2400
Mailing address
2475 ADAIR ST, SAN MARINO, CA 91108-2611
(626) 390-2440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP17701
CA
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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