Individual
DOUGLAS EHRENCLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
1411 W 190TH ST STE 110, GARDENA, CA 90248-4370
(657) 549-8012
Mailing address
1411 W 190TH ST STE 110, GARDENA, CA 90248-4370
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
21239
CA
Other
Enumeration date
09/17/2014
Last updated
01/07/2025
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