# CLINICAL SUPERVISION SOLUTIONS

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

## Provider details

- **NPI number:** 1649037979
- **Authorized official:** CASSIDY KOBIALKA M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/ OWNER)
- **Authorized official phone:** (757) 272-8765

## Contact information

- **Practice address:** 1401 21ST ST \# 10048, SACRAMENTO, CA 95811-5226
- **Practice address phone:** (757) 272-8765
- **Mailing address:** 1401 21ST ST \# 10048, SACRAMENTO, CA 95811-5226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/04/2024
- **Last updated:** 04/05/2024