# CENTER FOR SPEECH, LANGUAGE AND OCCUPATIONAL THERAPY A PROF CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629120068
- **Authorized official:** MRS. BRENDAN M WEBSTER CCCSLP (DIRECTOR OWNER)
- **Authorized official phone:** (650) 322-5230

## Contact information

- **Practice address:** 39420 LIBERTY ST, FREMONT, CA 94538-2200
- **Practice address phone:** (510) 794-5155
- **Practice address fax:** (510) 794-1912
- **Mailing address:** 39420 LIBERTY ST, FREMONT, CA 94538-2200
- **Mailing address phone:** (510) 794-5155
- **Mailing address fax:** (510) 794-1912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 06/02/2009