Individual
ANNA CHRISTINA VIPOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 P ST, SACRAMENTO, CA 95814-5300
(916) 869-5233
Mailing address
1400 THISTLEWOOD WAY, CARMICHAEL, CA 95608-6124
(916) 869-5233
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15386
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15386
CA SLP LICENSE
CA
Enumeration date
08/13/2019
Last updated
08/13/2019
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