KATIE MAULANA MARDAYAT

ENCINO, CA
NPI1134770316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  14045)
Enumeration Date2019-09-27
Last Update Date2019-09-27
Business Address
KATIE MAULANA MARDAYAT M.S., CF-SLP
16500 VENTURA BLVD STE 414
ENCINO, CA 91436-5050
Phone number: 818-788-1003
Mailing Address
KATIE MAULANA MARDAYAT M.S., CF-SLP
16500 VENTURA BLVD STE 414
ENCINO, CA 91436-5050
Phone number: 818-788-1003