Ikeda, Shannon Keiko

Ikeda, Shannon Keiko is an individual health care provider with primary practice located at 1720 S Amphlett Blvd Ste 250, San Mateo CA 94402-2702. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ikeda, Shannon Keiko can be contacted via phone (650) 931-6300.

Contact Information

Primary practice address
1720 S Amphlett Blvd Ste 250 San Mateo CA 94402-2702
Phone: (650) 931-6300
Fax: (650) 228-0356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 9954 California

Profile Details

NPI number 1659698876
LBN Legal business name Ikeda, Shannon Keiko
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2010
Last updated Mar 16th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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