Individual
MISS KELLY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19100 VENTURA BLVD, TARZANA, CA 91356-3239
(818) 708-7704
Mailing address
1919 ROCKING HORSE DR, SIMI VALLEY, CA 93065-5915
(805) 587-1575
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2894
CA
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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