Individual
GREGORY SEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP
Contact information
Practice address
531 LARKHALL AVE, DUARTE, CA 91010-1512
(626) 840-6139
Mailing address
531 LARKHALL AVE, DUARTE, CA 91010-1512
(626) 840-6139
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 9462
CA
Other
Enumeration date
08/05/2009
Last updated
01/19/2015
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