Individual
ELIZABETH KRISTEN BASCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1978 PLACER DR, CASTRO VALLEY, CA 94578-1337
(510) 315-1534
(510) 315-1534
Mailing address
1978 PLACER DR, CASTRO VALLEY, CA 94578-1337
(510) 315-1534
(510) 315-1534
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19170
CA
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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