Doctor Name: | JACQUELINE ANDREWS |
NPI Number: | 1821498445 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 8840 |
Business Practice Address: | 210 Porter Dr Ste 200 San Ramon, CA - 945831525 |
Business Phone Number: | 9257433322 |
Business Fax Number: | |
Mailing Address: | 1161 Bonita Ave Apt 2, MOUNTAIN VIEW |
State: | CA |
Postal Code: | 940403185 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/02/2014 |
NPI Last Update Date: | 09/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8840 |
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 |