Organization
BAY AREA SPEECH PATHOLOGY STUDIO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA NICOLE IHLE MA CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(414) 339-4202
Entity
Organization
Contact information
Practice address
478 WARREN DR, #311, SAN FRANCISCO, CA 94131-1068
(415) 213-2874
Mailing address
478 WARREN DR, #311, SAN FRANCISCO, CA 94131-1068
(415) 213-2874
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
18518
CA
Other
Enumeration date
03/15/2014
Last updated
03/15/2014
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