Organization
BAKERSFIELD SPEECH THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIDYARANI SHAMURAILATPAM SLP (CEO)
(661) 631-2229
Entity
Organization
Contact information
Practice address
4550 PANAMA LN STE 100, BAKERSFIELD, CA 93313-3486
(818) 943-0704
(661) 742-1644
Mailing address
2205 GAMBEL OAK WAY, BAKERSFIELD, CA 93311-1690
(661) 631-2229
(661) 742-1644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
03/02/2022
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