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Destinee Bohannon
Speech-Language Assistant in Los Angeles, California
NPI 1871253989

Destinee Bohannon is a Speech-Language Assistant based in Los Angeles, CA and is specialized in Speech-Language Assistant. Destinee Bohannon practices in Los Angeles, CA. The NPI Number for Destinee Bohannon is 1871253989 and holds a License No. (California).

The current practice location address for Destinee Bohannon is 1968 W Adams Blvd # 314, Los Angeles, CA and can be reached out via phone at 269-531-0553.

Location: 1968 W Adams Blvd # 314, Los Angeles, CA, 90008-4704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871253989
Provider Name
Destinee Bohannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1968 W Adams Blvd # 314, Los Angeles, CA, 90008-4704
Phone Number
269-531-0553
Fax Number
Provider Enumeration Date
12/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1968 W Adams Blvd # 314
City
Los Angeles
State
California
Zip
90018-3515
Phone Number
269-531-0553
Fax Number
person
Provider Business Mailing Address Details
Address
1968 W Adams Blvd # 314
City
Los Angeles
State
California
Zip
90018-3515
Phone Number
269-531-0553
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
(California)
Definition
Definition to come...
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