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Organization
MID PENINSULA SPEECH AND LANGUAGE CLINIC
Active
Organization
MID PENINSULA SPEECH AND LANGUAGE CLINIC
Active
Other names
MPSLC
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA JO DAGENAIS M.A. C.C.C. (DIRECTOR)
(650) 380-4929
Entity
Organization
Contact information
Practice address
102 FERNE AVE., PALO ALTO, CA 94306-4644
(650) 380-4929
Mailing address
2625 MIDDLEFIELD RD. #558, PALO ALTO, CA 94306-2516
(650) 321-8111
(650) 321-8122
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2651
CA
Other
Enumeration date
03/26/2007
Last updated
06/20/2024
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