Individual
MRS. ALIDA CELESTE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
17609 VENTURA BLVD, SUITE 215, ENCINO, CA 91316-3858
(818) 530-5145
(818) 501-8325
Mailing address
17609 VENTURA BLVD, SUITE 215, ENCINO, CA 91316-3858
(818) 530-5145
(818) 501-8325
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15553
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15553
STATE LICENSE
CA
Enumeration date
05/05/2010
Last updated
05/05/2010
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