Individual
DEBOLINA GHOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102
(248) 921-2493
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508340266
—
CA
Enumeration date
09/19/2018
Last updated
10/27/2021
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