Organization
BAY AREA OUTSPOKEN SPEECH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ONEIDA CHI MS, CCC-SLP (OWNER/ SPEECH PATHOLOGIST)
(415) 609-0657
Entity
Organization
Contact information
Practice address
1800 MARKET ST, SAN FRANCISCO, CA 94102-6227
(415) 375-0279
Mailing address
1212H EL CAMINO REAL #373, SAN BRUNO, CA 94066
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568971778
—
CA
Enumeration date
09/21/2017
Last updated
03/17/2018
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