Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Justin M Rafferty, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1215443858

Mr. Justin M Rafferty, CCC-SLP is a Speech-Language Pathologist in Oakland, California. Licensed in California and Maryland. Registered with an NPI since 2017.

Licensed in
CA, MD
In the registry since
2017
Specialties on file
2
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3020 E 15th St
Oakland, CA 94601-2305
Phone: (510) 261-5613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 21210 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 12142355 (MD)

Record details

NPI number1215443858
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedDecember 19, 2017
Last updated in NPPESDecember 19, 2017

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