Individual
ALYSE ECKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
140 S CHAPARRAL CT, ANAHEIM, CA 92808-2239
(714) 282-8852
Mailing address
140 S CHAPARRAL CT, ANAHEIM, CA 92808-2239
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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