Individual
GWENDOLYN MEIER EBERHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2088 E VILLA ST, PASADENA, CA 91107-2433
(626) 449-2919
(626) 449-2850
Mailing address
4408 BRIGGS AVE, MONTROSE, CA 91020-1110
(626) 449-2919
(626) 449-2850
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17312
SLP CALIFORNIA STATE LICENSE
CA
Enumeration date
06/13/2012
Last updated
02/06/2017
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