Individual
MRS. GINA COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
333 S BEAUDRY AVE, LOS ANGELES, CA 90017-1466
(213) 241-6200
Mailing address
13816 BORA BORA WAY APT 206, MARINA DEL REY, CA 90292-6864
(310) 621-7922
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10592
CA
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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