Individual
SYLVIA AGTUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16500 VENTURA BLVD, STE 414, ENCINO, CA 91436-2011
(818) 788-1003
(818) 788-1135
Mailing address
16500 VENTURA BLVD, STE 414, ENCINO, CA 91436-2011
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA 79
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SPA79
SPEECH PATHOLOGY
CA
Enumeration date
02/04/2013
Last updated
11/01/2023
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