Individual
ELISA KINGSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1460 8TH ST, BERKELEY, CA 94710-1434
(510) 644-6339
Mailing address
2020 BONAR ST STE 303, BERKELEY, CA 94702-1793
(510) 644-6210
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10375
CA
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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