Individual
BRANDI LOGAN-OCHOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4350 E RAY RD STE 101A, PHOENIX, AZ 85044-4707
(323) 395-1647
Mailing address
3841 SHEFFIELD AVE, LOS ANGELES, CA 90032-2426
(323) 395-1647
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131-634-8410
SPEECH THERAPIST
—
Enumeration date
09/08/2014
Last updated
08/25/2021
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