| NPI | 1013127711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HOLLIBAUGH Clinical Director 408-776-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 006712) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |