Organization
CLINICAL SUPERVISION SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIDY KOBIALKA M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/ OWNER)
(757) 272-8765
Entity
Organization
Contact information
Practice address
1401 21ST ST # 10048, SACRAMENTO, CA 95811-5226
(757) 272-8765
Mailing address
1401 21ST ST # 10048, SACRAMENTO, CA 95811-5226
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
03/04/2024
Last updated
04/05/2024
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