Individual
ELIZABETH GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
201 E. CAPELLA AVE, LA HABRA, CA 90631
(562) 565-5107
Mailing address
PO BOX 980, LA HABRA, CA 90633-0980
(562) 565-5107
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20198
CA
235Z00000X
Speech-Language Pathologist
7261
CA
Other
Enumeration date
10/31/2011
Last updated
08/12/2021
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