| NPI | 1962135657 |
|---|---|
| Doing Business As | SHASTA SPEECH AND LANGUAGE |
| Entity Type | Organization |
| Authorized Contact | SHELBY CASEY Owner/Speech Language Pathologist 510-709-5503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-08-11 |