Individual
ANALISA CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2200 PACIFIC COAST HWY STE 210, HERMOSA BEACH, CA 90254-2701
(310) 740-9493
Mailing address
2200 PACIFIC COAST HWY STE 210, HERMOSA BEACH, CA 90254-2701
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30795
CA
235Z00000X
Speech-Language Pathologist
30796
CA
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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