NPI 1225378532

The Speech Pathology Group, INC

Organisation Early Intervention Provider Agency Walnut Creek, CA

Practice location

Address: 2021 Ygnacio Valley Rd STE C202, Walnut Creek, CA 94598-3392
Phone: (925) 945-1474
Fax: (925) 945-1483
Mailing address: 2021 Ygnacio Valley Road, C103, Walnut Creek, CA 94598

Authorised official

Name: Susan M Stark
Title: President
Phone: (925) 945-1474

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence SP6948 (CA)

Other Early Intervention Provider Agency providers in California →

Registry record

NPI: 1225378532
Entity type: Organization
NPI issued: 22 Feb 2013
Record last updated: 5 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.