Organization
AIIM SF
Active
Other names
Ascending In Individual Minds
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICHELLE JOSEPHINE FONG M.S., CCC-SLP, CKTP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(415) 501-0158
Entity
Organization
Contact information
Practice address
41 BEACHMONT DR, SAN FRANCISCO, CA 94132-1607
(415) 501-0158
Mailing address
41 BEACHMONT DR, SAN FRANCISCO, CA 94132-1607
(415) 501-0158
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16536
CA
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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