Alicia Teeter, CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17524 Issued in CA

Practice address

4010 Moorpark Ave
117
San Jose, CA 95117-4101

Phone

(408) 249-0770

Fax

(408) 834-7767

NPI assigned

Jan 16, 2013

Last updated

Jan 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Learning to Succeed Speech Clinics, Inc.

  dba Learning to Succeed

  • Speech-Language Pathologist
  • San Jose, CA
  • NPI 1023242260
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1063750628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 MOORPARK AVE",
            "address_2": "117",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951174101",
            "telephone_number": "408-249-0770",
            "fax_number": "408-834-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 MOORPARK AVE",
            "address_2": "117",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951174101",
            "telephone_number": "408-249-0770",
            "fax_number": "408-834-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETER",
        "first_name": "ALICIA",
        "credential": "CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teach Social Therapy Group. a Prof. SLP Corp. (Social Thinking-Stevens Creek)
• Woubishet Demewozu Tebeje, BA, MA
• Liam Tecson
• Elsa Tedros
• Grace Tee, M.D
• Rutta Teferi
• Rachel Tegano
• C Tejada, MS, OTR/L
• Adriel Tejeda Mendoza
• Yadira Tejeda

• Speech-Language Pathologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.