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Individual

ELIZABETH ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
165 GRAND AVE, SAN LUIS OBISPO, CA 93405-2007
(817) 528-3597
Mailing address
158 SAN JOSE CT, SAN LUIS OBISPO, CA 93405-1532
(817) 528-3597

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107386
TX
235Z00000X
Speech-Language Pathologist
Primary
20537
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107386
SLP LICENSE
TX
Enumeration date
06/26/2012
Last updated
06/01/2026
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