Individual
BREEANA RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
12062 VALLEY VIEW ST STE 137, GARDEN GROVE, CA 92845-1741
(714) 901-1518
(714) 901-1359
Mailing address
12062 VALLEY VIEW ST STE 137, GARDEN GROVE, CA 92845-1741
(714) 901-1518
(714) 901-1359
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP26343
CA
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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