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Organization
PEDIATRIC LANGUAGE THERAPY ASSSOCIATES PC
Active
Organization
PEDIATRIC LANGUAGE THERAPY ASSSOCIATES PC
Active
Other names
East Bay Child Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE IBRAHIM MS, CCC-SLP (OWNER)
(510) 816-8005
Entity
Organization
Contact information
Practice address
14207 E 14TH ST, SAN LEANDRO, CA 94578-2709
(510) 542-9404
(510) 295-2446
Mailing address
14207 E 14TH ST, SAN LEANDRO, CA 94578-2709
(510) 542-9404
(510) 295-2446
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275028821
NPI
CA
Enumeration date
10/19/2022
Last updated
02/10/2025
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