Individual
AVALON SCOPELLITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
4002 VISTA WAY, OCEANSIDE, CA 92056-4506
(760) 940-7151
Mailing address
11998 STONEY PEAK DR APT 812, SAN DIEGO, CA 92128-6473
(949) 310-4002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
26900
CA
Other
Enumeration date
06/20/2020
Last updated
11/27/2023
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