Individual
ASHLEY JEAN MANGABAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2701 N ROCKY POINT DR, SUITE 650, TAMPA, FL 33607-5917
(800) 892-0640
(800) 892-0648
Mailing address
1612 WASHINGTON AVE, SAN JACINTO, CA 92583-5728
(951) 282-8403
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17816
CA
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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