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

Tristen Levy, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1174372031

Tristen Levy, MACCC-SLP is a Speech-Language Pathologist in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

313 Holly Dr
San Rafael, CA 94903-2439
Phone: (415) 686-2042
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 14504 (CA)

Record details

NPI number1174372031
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedMay 14, 2024
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024

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