Individual
ELIZABETH TO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3440 E LA PALMA AVE, ANAHEIM, CA 92806-2020
(714) 644-2000
Mailing address
3440 E LA PALMA AVE, ANAHEIM, CA 92806-2020
(714) 644-2000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24517
CA
Other
Enumeration date
07/08/2016
Last updated
10/25/2021
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