Individual
MS. KATHLEEN MARY VENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
438 W LAS TUNAS DRIVE, SAN GABRIEL VALLEY MEDICAL CENTER, SAN GABRIEL, CA 91776
(626) 570-6587
Mailing address
1142 CAMPBELL, #101, GLENDALE, CA 91207
(818) 242-0340
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA224
CA
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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