Individual
DENISE LOUISE BILDERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1440 168TH AVE, SAN LEANDRO, CA 94578-2409
(510) 481-8575
Mailing address
1440 168TH AVE, SAN LEANDRO, CA 94578-2409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP15154
CA
Other
Enumeration date
01/29/2007
Last updated
07/10/2007
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