Individual
MRS. DEBORAH ANN ANTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3205 OCEAN PARK BLVD, SUITE 120, SANTA MONICA, CA 90405-3224
(310) 581-6430
Mailing address
1079 GLENHAVEN DR, PACIFIC PALISADES, CA 90272-2204
(310) 454-7347
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 3473
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP 3473
SPEECH PATHOLOGY LICENSE
CA
Enumeration date
06/29/2007
Last updated
07/08/2007
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