Individual
CLARADEE ECHELBARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SP
Contact information
Practice address
722 VALENCIA AVE., EL GRANADA, CA 94018
(916) 205-1697
Mailing address
PO BOX 534, 722 VALENCIA, EL GRANADA, CA 94018-0534
(916) 205-1697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6164
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP 6164
STATE LICENSE, SPEECH PAT
CA
Enumeration date
04/11/2007
Last updated
07/08/2007
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