Individual
ELIA VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
3205 HURLEY WAY, SACRAMENTO, CA 95864-3853
(916) 485-6711
(916) 485-2653
Mailing address
3205 HURLEY WAY, SACRAMENTO, CA 95864-3853
(916) 485-6711
(916) 485-2653
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 21514
CA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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