Individual
MRS. BREANNE WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1555 SIMI TOWN CENTER WAY STE 720, SIMI VALLEY, CA 93065
(805) 416-0494
(805) 416-0507
Mailing address
4893 LEEDS ST, SIMI VALLEY, CA 93063-3051
(805) 404-2665
(805) 416-0507
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20882
CA
Other
Enumeration date
08/27/2012
Last updated
08/07/2019
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