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FIDELA BOUATHONG
NPI 1073155206
Speech-Language Pathologist in Sacramento, CA

Active since October 09, 2019
500 JESSIE AVE, SACRAMENTO, CA 95838(916) 922-7177 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fidela Bouathong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIDELA BOUATHONG (NPI 1073155206) is an individual speech-language pathologist provider in Sacramento, California and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1073155206
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameFIDELA BOUATHONG
Location Address500 JESSIE AVESacramento, CA 95838-2609
Mailing Address623 14th StSacramento, CA 95814
Phone(916) 922-7177
Sole ProprietorNo
Enumeration DateOctober 9, 2019
✔ NPI 1073155206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
500 JESSIE AVE, Sacramento, CA 95838
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ALYNA KEALANI KANAE M.S., CCC-SLP
Speech-Language Pathologist
500 JESSIE AVE
SACRAMENTO, CA 95838
Sacramento County (916) 922-7177
LEAH RANDAZZO
Physical Therapy Assistant
500 JESSIE AVE
SACRAMENTO, CA 95838
Sacramento County (916) 922-7177
GLENL XIONG, MDINC
Clinic/Center (Primary Care)
500 JESSIE AVE
SACRAMENTO, CA 95838
Sacramento County (916) 668-0683
EVELYN DREW
Occupational Therapy Assistant
500 JESSIE AVE
SACRAMENTO, CA 95838
Sacramento County (916) 922-7177
STEPHEN HO
Physical Therapist
500 JESSIE AVE
SACRAMENTO, CA 95838
Sacramento County (916) 849-5125
NORTH SACRAMENTO HEALTHCARE, LLC
Alzheimer Center (Dementia Center)
500 JESSIE AVE
SACRAMENTO, CA 95838
Sacramento County (916) 922-7177
MAKEDA TAYE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
500 JESSIE AVE
SACRAMENTO, CA 95838
Sacramento County (916) 668-0683
DAVID BURKE
Occupational Therapist
500 JESSIE AVE
SACRAMENTO, CA 95838
Sacramento County (916) 922-7177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fidela Bouathong's NPI number?

The NPI number for Fidela Bouathong is 1073155206. It was assigned to this individual provider in the NPPES registry on October 9, 2019.

Where is Fidela Bouathong located?

Fidela Bouathong practices at 500 Jessie Ave, Sacramento, CA 95838. The listed phone number is (916) 922-7177.

What is Fidela Bouathong's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Fidela Bouathong was last updated on October 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.