| Doctor Name: | MR. CRAIG STEVEN MCINTIRE |
| NPI Number: | 1053694281 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, CCC-SLP |
| License Number: | 15246 |
| Business Practice Address: | 1592 Sunnyvale Ave #26 Walnut Creek, CA - 945971934 |
| Business Phone Number: | 9253308429 |
| Business Fax Number: | |
| Mailing Address: | 395 Oyster Point Blvd, South San Francisco SOUTH SAN FRANCISCO |
| State: | CA |
| Postal Code: | 940801928 |
| Phone Number: | 8667584700 |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2011 |
| NPI Last Update Date: | 08/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 15246 |
| 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 |