Individual
ELLEN GLEIMER-HUSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 W GAINSBOROUGH RD, THOUSAND OAKS, CA 91360-3561
(805) 300-4058
Mailing address
43 W GAINSBOROUGH RD, THOUSAND OAKS, CA 91360-3561
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9144
CA
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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