SPEECH, MARIN (SPEECH THERAPY MARIN, INC) NPI 1205338332

Speech-Language Pathologist in Corte Madera, CA

NPI 1205338332 Organization Speech-Language Pathologist

About SPEECH, MARIN (SPEECH THERAPY MARIN, INC)

Speech, Marin (speech Therapy Marin, Inc) is a provider established in Corte Madera, California specializing in speech-language pathologist. The NPI number of Speech, Marin (speech Therapy Marin, Inc) is 1205338332 and was assigned on March 2018. The practitioner's primary taxonomy code is 235Z00000X with license number 16970 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. Speech, Marin (speech Therapy Marin, Inc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Speech, Marin. The authorized official of this NPI record is Denise Santos Ford Ccc - Slp (Slp)

NPI

1205338332

Provider NameSPEECH, MARIN (SPEECH THERAPY MARIN, INC)
Provider Location Address645 TAMALPAIS DR STE B CORTE MADERA, CA 94925
Provider Mailing Address645 TAMALPAIS DR STE B CORTE MADERA, CA 94925
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSPEECH, MARIN
Other Name TypeDoing Business As (3)
Enumeration Date03-05-2018
Last Update Date09-15-2020


Primary Taxonomy

Taxonomy Code235Z00000X
ClassificationSpeech-Language Pathologist
TypeSpeech, Language and Hearing Service Providers
License No.16970
License StateCA
Taxonomy DescriptionThe 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.

Business Address

SPEECH, MARIN
645 TAMALPAIS DR STE B
CORTE MADERA, CA
ZIP 94925
Phone: (415) 924-2444
Fax: (415) 924-2442

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Mailing Address

SPEECH, MARIN
645 TAMALPAIS DR STE B
CORTE MADERA, CA
ZIP 94925
Phone: (415) 924-2444
Fax: (415) 924-2442



Authorized Official

Authorized Official Name DENISE SANTOS FORD CCC - SLP
Authorized Official TitleSLP
Authorized Official Phone(415) 924-2444

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083116412 MARISSA CARLY MELTZER M.A.
Individual
Speech-Language Pathologist645 TAMALPAIS DR STE B
CORTE MADERA, CA 94925
(415) 924-2444
1659873784 MARISSA FORREST
Individual
Specialist/Technologist (Speech-Language Assistant)645 TAMALPAIS DR STE B
CORTE MADERA, CA 94925
(415) 924-2444
1346856218 SARA ELENA DOLAN
Individual
Speech-Language Pathologist645 TAMALPAIS DR STE B
CORTE MADERA, CA 94925
(415) 924-2444
1366058927 ELIZABETH MOYLE CCC-SLP
Individual
Speech-Language Pathologist645 TAMALPAIS DR STE B
CORTE MADERA, CA 94925
(559) 909-2605
1396351896 EMILY SIMONS M.A. CCC - SLP
Individual
Speech-Language Pathologist645 TAMALPAIS DR STE B
CORTE MADERA, CA 94925
(415) 924-2444
1548875735 TAIYA RYAN M.A., CCC-SLP
Individual
Speech-Language Pathologist645 TAMALPAIS DR STE B
CORTE MADERA, CA 94925
(415) 924-2444

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.