Individual
VICTORIA DEASY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.V.T.
Contact information
Practice address
803 1/2 JUNO LN, FOSTER CITY, CA 94404-2813
(650) 996-6575
Mailing address
803 1/2 JUNO LN, FOSTER CITY, CA 94404-2813
(650) 996-6575
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
70712167
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70712167
AG BELL ACADEMY FOR LISTENING AND SPOKEN LANGUAGE
DC
Enumeration date
05/03/2017
Last updated
05/03/2017
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