Jennifer Adams – Speech-Language Pathologist

Key facts

NPI: 1376779652
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 13331 (CA)
Practice address: 39420 Liberty St
Suite 150
Fremont, CA 94538-2200
Phone: (510) 794-5155
NPI assigned: Jun 1, 2009
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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

Center for Speech, Language and Occupational Therapy a Prof Corp Speech-Language Pathologist · Fremont, CA · NPI 1629120068

NPD (past) SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
13331	CA	MD	Occupational Therapist

Practice roles

Organization	Specialty	Status	New patients
Center for Speech, Language and Occupational Therapy a Prof Corp	Speech-Language Pathologist	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	13331	CA	Yes

Addresses

Primary practice location

39420 Liberty St
Suite 150
Fremont, CA 94538-2200

Mailing address

39420 Liberty St
Suite 150
Fremont, CA 94538-2200

Other providers in Fremont, CA

All providers in Fremont, 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 Jun 1, 2009. 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.

Verify at the official NPI Registry.