Individual
ELHAM SHALIEHSABOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
9401 BOLTON RD, LOS ANGELES, CA 90034-1011
(310) 927-1612
Mailing address
9401 BOLTON RD, LOS ANGELES, CA 90034-1011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP16770
CA
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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