MICAELA ALEXANDRA SEVERANCE

ANAHEIM, CA
NPI1467123836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  41230)
Enumeration Date2021-09-24
Last Update Date2026-08-31
Business Address
MICAELA ALEXANDRA SEVERANCE
1411 S GILBERT ST
ANAHEIM, CA 92804-5230
Phone number: 714-527-5143
Mailing Address
MICAELA ALEXANDRA SEVERANCE
2705 W ORANGE AVE
ANAHEIM, CA 92804-3298
Phone number: