Individual
MR. AMRIT BAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC SLP
Contact information
Practice address
21966 DOLORES ST, CASTRO VALLEY, CA 94546-6900
(510) 733-2419
(510) 583-1263
Mailing address
297 ABALONE PL, LIVERMORE, CA 94550-8606
(925) 518-3318
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
21533
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043489016
—
CA
Enumeration date
08/07/2018
Last updated
08/07/2018
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