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ILYSSA T ABARANOK M.S. CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1699082362

Individual Registrant:
 ILYSSA T ABARANOK M.S. CCC-SLP
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

Contact information for business:
11215 HUSTON ST SUITE 103 NORTH HOLLYWOOD, CA 91601-5385 US
Tel: 310-435-7920  Fax: 818-358-3842

Registration Information:
NPI: 1699082362
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
CA15492

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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