San Diego State University Speech, Language And Hearing Clinic

LBN: San Diego State University
San Diego State University Speech, Language And Hearing Clinic is an health care organization with primary practice located at 5500 Campanile Dr , San Diego CA 92182-1518. The organization recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is the primary health care specialty. San Diego State University can be contacted via phone (619) 594-7747, or through Wong Nickerson, Agnes via phone (619) 594-6017.

Contact Information

Primary practice address
5500 Campanile Dr San Diego CA 92182-1518
Phone: (619) 594-7747
Fax: (619) 594-5917
Website:
Map and Directions
Authorized official contact:
Name: Wong Nickerson, Agnes
Phone: (619) 594-6017

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X

Profile Details

NPI number 1972964468
LBN Legal business name San Diego State University
DBA Doing business as San Diego State University Speech, Language And Hearing Clinic
Authorized official Wong Nickerson, Agnes
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 11th, 2016
Last updated Mar 11th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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