Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CRYSTAL ELEANOR-BODMER KULD M.S., CCC-SLP
NPI 1699505792
Speech-Language Pathologist in Vallejo, CA

Active since August 05, 2024
665 WALNUT AVE, VALLEJO, CA 94592(707) 556-8921 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 16, 2026, Aug 5, 2024 (2 updates tracked since 2024).

About Crystal Eleanor-bodmer Kuld M.s., Ccc-slp NPPES

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

CRYSTAL ELEANOR-BODMER KULD M.S., CCC-SLP (NPI 1699505792) is an individual speech-language pathologist provider in Vallejo, California, licensed in California (26963) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1699505792
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCRYSTAL ELEANOR-BODMER KULDCredential: M.S., CCC-SLP
Location Address665 WALNUT AVEVallejo, CA 94592-1177
Mailing Address421 W Carlos StAlturas, CA 96101-3825 · (562) 896-2574
Sole ProprietorNo
Enumeration DateAugust 5, 2024
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1699505792 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
License Licensed in CA · 26963
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.

665 WALNUT AVE, Vallejo, CA 94592

Other Names 1

Former Name (1)Crystal Eleanor Bodmer Ccc-slp

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.

Local Education Agency (LEA)
665 WALNUT AVE
VALLEJO, CA 94592
Registered Nurse (School)
665 WALNUT AVE
VALLEJO, CA 94592
Registered Nurse (School)
665 WALNUT AVE
VALLEJO, CA 94592
Physical Therapist
665 WALNUT AVE
VALLEJO, CA 94592
Psychologist (School)
665 WALNUT AVE
VALLEJO, CA 94592
Speech-Language Pathologist
665 WALNUT AVE
VALLEJO, CA 94592
Psychologist (School)
665 WALNUT AVE
VALLEJO, CA 94592
Psychologist (School)
665 WALNUT AVE
VALLEJO, CA 94592

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699505792, enumerated as an "individual" on August 05, 2024.

The provider is located at 665 WALNUT AVE VALLEJO, CA 94592 and the phone number is (707) 556-8921.

Speech-Language Pathologist with taxonomy code 235Z00000X.