| NPI | 1548404866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA WILLEY-JOHNSON Office Administrator 925-672-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 9955) |
| Additional Taxonomies | 2355A2700X Specialist/Technologist, Audiology Assistant (Licence: CA 9955) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2019-04-04 |