Organization Name: | BAY AREA SOUND SPEECH AND HEARING CLINIC, PC |
NPI Number: | 1306241112 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOANNA VAYNSHTOK (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 251 Rhode Island St Suite 101 San Francisco |
State: | CA US |
Postal Code: | 941035168 |
Phone Number: | 4153648774 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2014 |
NPI Last Update Date: | 11/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22257 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |