Individual
HALLIE ANNABEL POULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., C-SLPA
Contact information
Practice address
2505 W SHAW AVE, FRESNO, CA 93711-3334
(559) 228-9100
Mailing address
2505 W SHAW AVE, FRESNO, CA 93711-3334
(559) 228-9100
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
8022
CA
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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