Individual
ILYSSA T ABARANOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
11215 HUSTON ST, SUITE 103, NORTH HOLLYWOOD, CA 91601-5385
(310) 435-7920
(818) 358-3842
Mailing address
11215 HUSTON ST, SUITE 103, NORTH HOLLYWOOD, CA 91601-5385
(310) 435-7920
(818) 358-3842
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15492
CA
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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