Doctor Name: | MS. AMBER MELISSA RICHARDSON |
NPI Number: | 1124310966 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 6785 |
Business Practice Address: | 2208 Camino Ramon Suite B San Ramon, CA - 945831328 |
Business Phone Number: | 9253620683 |
Business Fax Number: | |
Mailing Address: | 2028 Prince St, BERKELEY |
State: | CA |
Postal Code: | 947032519 |
Phone Number: | 5104355727 |
Fax Number: | |
NPI Enumeration Date: | 05/12/2011 |
NPI Last Update Date: | 05/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6785 |
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 |