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

Miellie Bazzano

Individual provider Speech-Language Pathologist · NPI 1659213544

Miellie Bazzano is a Speech-Language Pathologist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

3925 Old Redwood Hwy Ofc 4
Santa Rosa, CA 95403-1719
Phone: (707) 393-4033
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 41468 (CA)

Record details

NPI number1659213544
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2026
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address18262 N Shore Dr, Hidden Valley Lake, CA 95467-8624

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