Individual
CARLY NOEL SPROUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CF SLP
Contact information
Practice address
1063 MCGAW AVE STE 100, IRVINE, CA 92614-5554
(714) 834-1111
Mailing address
16944 VASQUEZ CANYON RD, CANYON COUNTRY, CA 91351-1437
(661) 753-7815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16336
CA
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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