Provider Demographics
NPI:1639217946
Name:ALJILANI, BROOKE HARNISH (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:HARNISH
Last Name:ALJILANI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MS
Other - First Name:BROOKE
Other - Middle Name:ELIZABETH
Other - Last Name:HARNISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10635 LOIRE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131
Mailing Address - Country:US
Mailing Address - Phone:619-254-1002
Mailing Address - Fax:858-224-8239
Practice Address - Street 1:9666 BUSINESS PARK. AVE.
Practice Address - Street 2:SUITE 201
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131
Practice Address - Country:US
Practice Address - Phone:619-254-1002
Practice Address - Fax:858-224-8239
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12291235Z00000X
WA61142982235Z00000X
CASP12291235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist