Individual
ANA MARIA FRAGOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, C.C.C.
Contact information
Practice address
16500 VENTURA BLVD STE 414, ENCINO, CA 91436-5050
(818) 788-1003
Mailing address
16500 VENTURA BLVD STE 414, ENCINO, CA 91436-5050
(818) 788-1003
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
13789
CA
235Z00000X
Speech-Language Pathologist
Primary
SLP101889
MA
Other
Enumeration date
06/27/2007
Last updated
12/31/2025
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