Individual
GERALDINE FABELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2876 CARMEL ST APT 2, OAKLAND, CA 94602-3461
(510) 684-7659
Mailing address
2876 CARMEL ST APT 2, OAKLAND, CA 94602-3461
(510) 684-7659
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10776
CA
Other
Enumeration date
01/06/2011
Last updated
09/10/2013
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