Individual
DAPHYNE THOMAS MIRR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
210 PORTER DR, SAN RAMON, CA 94583-1588
(925) 743-3322
Mailing address
900 SUNSET CREEK LN, PLEASANTON, CA 94566-3814
(925) 249-0360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15289
CA
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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