Individual
FELIPE PRADENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 E BELLEVUE RD, ATWATER, CA 95301-2397
(209) 357-6140
(209) 357-6141
Mailing address
1401 BROADWAY AVE, ATWATER, CA 95301-3546
(209) 357-6100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
40595
CA
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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