Individual
ELENA PIVOVAROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1001 S EAST ST, ANAHEIM, CA 92805-5749
(714) 517-7500
Mailing address
1001 S EAST ST, ANAHEIM, CA 92805-5749
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2183
CA
Other
Enumeration date
04/18/2013
Last updated
05/14/2018
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