Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Oak Speech Therapy, Inc

Organization Speech-Language Pathologist · NPI 1043720881

Black Oak Speech Therapy, Inc is a Speech-Language Pathologist in El Dorado Hills, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1160 Suncast Ln Ste 9
El Dorado Hills, CA 95762-9327
Phone: (530) 728-0757
Fax: (530) 718-3527
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 22500 (CA)

Record details

NPI number1043720881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alex Stewart — President · (530) 728-0757
Other names Black Oak Therapy
NPI enumeratedOctober 6, 2017
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025
Mailing address1620 Paso Diablo Rd, Placerville, CA 95667-3023

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