Individual
LISA PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
418 E VANDERBILT WAY, SAN BERNARDINO, CA 92408-3552
(909) 373-1641
Mailing address
10655 LEMON AVE APT 1401, RANCHO CUCAMONGA, CA 91737-6958
(909) 519-6787
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2096
CA
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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