Individual
DYANELLE SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
12411 SLAUSON AVE STE H, WHITTIER, CA 90606-2835
(562) 693-5449
Mailing address
2115 GRANT AVE APT 1, REDONDO BEACH, CA 90278-3639
(310) 372-8097
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP18080
CA
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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