Organization
BAY AREA SPEECHWORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M LESLIE WHITAKER (PRESIDENT)
(415) 205-1754
Entity
Organization
Contact information
Practice address
131 CAMINO ALTO, SUITE E-3, MILL VALLEY, CA 94941-2254
(415) 205-1754
Mailing address
131 CAMINO ALTO, SUITE E-3, MILL VALLEY, CA 94941
(415) 205-1754
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10040
CA
235Z00000X
Speech-Language Pathologist
Primary
11013
CA
235Z00000X
Speech-Language Pathologist
13781
CA
235Z00000X
Speech-Language Pathologist
15821
CA
235Z00000X
Speech-Language Pathologist
22812
CA
235Z00000X
Speech-Language Pathologist
8306
CA
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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