Individual
MS. CONSTANCE ELIZABETH KEATINGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC, SLP
Contact information
Practice address
375 LAGUNA HONDA BLVD, LAGUNA HONDA HOSPITAL, SPEECH THERAPY DEPT., SAN FRANCISCO, CA 94116-1411
(415) 759-4522
(415) 759-6317
Mailing address
375 LAGUNA HONDA BLVD, LAGUNA HONDA HOSPITAL, SPEECH THERAPY DEPT., SAN FRANCISCO, CA 94116-1411
(415) 759-4522
(415) 759-6317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 5332
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP 5332
CA SPEECH LANGUAGE BOARD
CA
Enumeration date
05/25/2007
Last updated
07/08/2007
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