Individual
MRS. ALIX GABRIELLE GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-4000
Mailing address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5109
CA
Other
Enumeration date
05/18/2021
Last updated
04/09/2022
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