Santa Rosa Speech & Language Services

LBN: Santa Rosa Speech & Language Services
Santa Rosa Speech & Language Services is an health care organization with primary practice located at 4725B Hoen Ave , Santa Rosa CA 95405-7862. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Santa Rosa Speech & Language Services can be contacted via phone (707) 542-1010, or through Samples, John Mar via phone (707) 542-1010.

Contact Information

Primary practice address
4725B Hoen Ave Santa Rosa CA 95405-7862
Phone: (707) 542-1010
Fax: (707) 542-4818
Website:
Map and Directions
Authorized official contact:
Name: Samples, John Mar PHD
Phone: (707) 542-1010

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP1429 California

Profile Details

NPI number 1992781421
LBN Legal business name Santa Rosa Speech & Language Services
DBA Doing business as
Authorized official Samples, John Mar PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2005
Last updated Jul 1st, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992781421 NPPES
California MEDICAID ZZZ77845Z

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