San Diego State University
San Diego State University is a Speech-Language Pathologist in San Diego, California. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
5500 Campanile DrSan Diego, CA 92182-1518
Phone: (619) 594-7747
Fax: (619) 594-5917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Audiologist-Hearing Aid Fitter (primary) | Taxonomy 237600000X |
|---|---|
| Speech-Language Pathologist | Taxonomy 235Z00000X |
Record details
| NPI number | 1972964468 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | San Diego State University |
| Authorized official | Agnes Wong Nickerson — Associate Vp Of Financial Operation · (619) 594-6017 |
| Other names | San Diego State University Speech, Language And Hearing Clinic |
| NPI enumerated | March 11, 2016 |
| Last updated in NPPES | March 11, 2016 |
| Mailing address | 5500 Campanile Dr, San Diego, CA 92182-1518 |
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