Speech Pathology Services of Marin Sonoma Incorporated

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPEECH PATHOLOGY SERVICES OF MARIN SONOMA INCORPORATED

Practice address

30 N San Pedro Rd
Suite 265
San Rafael, CA 94903-4118

Phone

(415) 479-7880

Fax

(415) 479-7889

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Robin Rossman, M.A.C.C.C.SLP

Title

Cfo Clinical Director

Phone

(415) 479-7880

Specialties & licenses 1

Addresses

Tax ID family

Speech Pathology Services of Marin Sonoma Incorporated2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Speech Pathology Services of Marin Sonoma Incorportated

  • Speech-Language Pathologist
  • Petaluma, CA
  • NPI 1801019773
  NPD tax ID

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316160286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N SAN PEDRO RD",
            "address_2": "SUITE 265",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034118",
            "telephone_number": "415-479-7880",
            "fax_number": "415-479-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N SAN PEDRO RD",
            "address_2": "SUITE 265",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034118",
            "telephone_number": "415-479-7880",
            "fax_number": "415-479-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHOLOGY SERVICES OF MARIN SONOMA INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSSMAN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CFO CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "415-479-7880",
        "authorized_official_credential": "M.A.C.C.C.SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Souza, ASW
• Sowi Home Care
• Matthew L Spalding, EDM
• Lori Smith Sparrow
• Esther Spearman
• Megan Eileen Spence
• Katharine C Spencer, MFT
• Brooke Spezzano, M.S., MFTI
• Deanna Sprague
• Kira Spreenberg-Bronsoms, MS, RD

• Speech-Language Pathologist in San Rafael, CA
• Providers in San Rafael, 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 Aug 22, 2020; 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.