Individual
ALEXIS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19019 VENTURA BLVD, TARZANA, CA 91356-3253
(818) 697-0377
Mailing address
19019 VENTURA BLVD, TARZANA, CA 91356-3253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
21152
CA
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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