Individual
EKATERINA KOLPAKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 LONG BEACH BLVD STE 700, LONG BEACH, CA 90807-2000
(818) 894-2273
(818) 357-2505
Mailing address
18 PINE HILL RD, SWAMPSCOTT, MA 01907-2210
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
36612
CA
235Z00000X
Speech-Language Pathologist
SLP78371
MA
235Z00000X
Speech-Language Pathologist
SP3319
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP78371
MA BOARD OF SLP PROVIDERS
MA
01
—
SP3319
SLP & HEARING BOARD
ME
Enumeration date
03/28/2022
Last updated
05/13/2026
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