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Individual

ALLISON TEAGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6800 BROCKTON AVE, RIVERSIDE, CA 92506-3835
(951) 779-1966
Mailing address
5415 FETLOCK AVE, FONTANA, CA 92336-0122

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
RPE20410
CA

Other

Enumeration date
10/26/2023
Last updated
09/25/2025
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