Individual provider · NPI-1
Deanna Debartolo
Speech-Language Pathologist, · Chatsworth, CA
NPI number1629799150
StatusActive
Last updated in NPPESSep 1, 2026
Details
- NPI
- 1629799150
- Entity type
- Individual (NPI-1)
- Name
- Deanna Debartolo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 2, 2022
- Certification date
- Sep 1, 2026
- Last updated
- Sep 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 41652 | CA | Yes |
Practice location
9301 Oakdale Ave Ste 305Chatsworth, CA 91311-6539
Phone 661-274-8454
Mailing address
618 Double Eagle DrSimi Valley, CA 93065-6677
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