Individual
MS. FE LIZETTE VERGARA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2109 OTOOLE AVE STE M, SAN JOSE, CA 95131-1338
(408) 573-7720
Mailing address
2109 OTOOLE AVE STE M, SAN JOSE, CA 95131-1338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
39440
CA
Other
Enumeration date
09/05/2014
Last updated
12/11/2025
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