Provider Demographics
NPI:1174419899
Name:CARRANZA, DAMARIS C
Entity type:Individual
Prefix:MISS
First Name:DAMARIS
Middle Name:C
Last Name:CARRANZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13100 BROMONT AVE UNIT 47
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-7438
Mailing Address - Country:US
Mailing Address - Phone:818-471-3733
Mailing Address - Fax:
Practice Address - Street 1:8399 TOPANGA CANYON BLVD STE 309
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91304-2355
Practice Address - Country:US
Practice Address - Phone:818-239-4949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPE-20247235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist