Individual
LEAH DEVINE GENEROLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
800 S HARBOR BLVD STE 100, ANAHEIM, CA 92805-5188
(657) 208-3188
Mailing address
18435 SANTA ISADORA ST, FOUNTAIN VALLEY, CA 92708-5543
(714) 864-7514
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA9025
CA
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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