Individual
ERICA MEDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
5301 LAUREL CANYON BLVD STE 245, VALLEY VILLAGE, CA 91607-2777
(818) 435-2960
(818) 435-2903
Mailing address
13360 BURBANK BLVD APT 9, SHERMAN OAKS, CA 91401-5384
(310) 867-1145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP17971
CA
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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