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

Individual provider Speech-Language Pathologist · NPI 1366205387

Kirstiana Bandong, CCCSLP is a Speech-Language Pathologist in Walnut Creek, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2024
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Practice location Address checks out

2765 Mitchell Dr
Walnut Creek, CA 94598-1601
Phone: (510) 358-1881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2904 Dobson Ct, Fremont, CA 94555-2312 — (510) 358-1881

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 36285 (CA)

Record details

NPI number1366205387
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCCSLP
Sole proprietorNo
NPI enumeratedFebruary 1, 2024
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

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