Provider Demographics
NPI:1629495908
Name:ROBEDILLO, MARIA LARISA FRANCESCA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MARIA LARISA
Middle Name:FRANCESCA
Last Name:ROBEDILLO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 EUCLID ST APT 4
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-1724
Mailing Address - Country:US
Mailing Address - Phone:424-645-7872
Mailing Address - Fax:
Practice Address - Street 1:825 EUCLID ST
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-1724
Practice Address - Country:US
Practice Address - Phone:424-645-7872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-25
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20036235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist