| Organization Name: | BAY AREA SPEECH AND LANGUAGE CLINIC |
| NPI Number: | 1013127711 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER HOLLIBAUGH (CLINICAL DIRECTOR) |
| Mailing Address: | 18525 Sutter Blvd Suite 290 Morgan Hill |
| State: | CA US |
| Postal Code: | 950378100 |
| Phone Number: | 4087761700 |
| Fax Number: | 4087761702 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 006712 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |