Applied Intervention
Organization Active NPI Speech-Language Pathologist · Crescent City, CA
NPI 1134495773 · NPPES record last updated Mar 28, 2012
Key facts
- NPI
- 1134495773
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 11534 (CA)
- Legal business name
- APPLIED INTERVENTION
- Practice address
- 550 E Washington Blvd
Suite 200 Box 8
Crescent City, CA 95531-8160 - Phone
- (707) 354-8631
- NPI assigned
- Mar 28, 2012
- Organization subpart
- No
Authorized official
- Name
- Kathleen Wollam
- Title
- Speech-Language Pathologist
- Phone
- (707) 954-8631
Practitioners 1
-
Kathleen R. Wollam, M.A., SLP
National Provider Directory
Locations
550 E Washington Blvd
Ste 200
Crescent City, CA 95531
Phone (707) 354-8631
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 11534 | CA | Yes |
Addresses
Primary practice location
550 E Washington Blvd
Suite 200 Box 8
Crescent City, CA 95531-8160
Mailing address
245 N Rossini LN
Smith River, CA 95567-9503
Phone (707) 954-8631
Other providers in Crescent City, CA
- Rachel Inez Allen
- Samuel Ambrosia
- Melinda Ann Anderson
- Susan Margaret Andrews
- Dominic Omar Ansari
- Gustavo Chavez Aragones
- David Linn Archambault
- Carolina Arenas
- Avery Armstrong
- Mojgan Arshi
All providers in Crescent City, CA · Speech-Language Pathologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.