Individual
MR. COLIN MATTHEW MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLPA
Contact information
Practice address
4400 KELLER AVE STE 200, OAKLAND, CA 94605-4229
(510) 639-2929
Mailing address
131 CHILPANCINGO PKWY APT 283, PLEASANT HILL, CA 94523-1351
(209) 479-4184
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5577
CA
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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