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ILYSSA T ABARANOK M.S. CCC-SLP
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1699082362
Individual Registrant: ILYSSA T ABARANOK M.S. CCC-SLP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
11215 HUSTON ST SUITE 103 NORTH HOLLYWOOD, CA 91601-5385 US
Tel: 310-435-7920 Fax: 818-358-3842
Tel: 310-435-7920 Fax: 818-358-3842
Contact information for business:
11215 HUSTON ST SUITE 103 NORTH HOLLYWOOD, CA 91601-5385 US
Tel: 310-435-7920 Fax: 818-358-3842
Tel: 310-435-7920 Fax: 818-358-3842
Registration Information:
NPI: 1699082362
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | CA | 15492 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
