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ELIZABETH SEAGRAVE M.S. CCC-SLP NPI 1114315405


NPI Information

NPI: 1114315405
Provider Name: ELIZABETH SEAGRAVE, M.S. CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2400 LAS GALLINAS AVE
STE 135A
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 326-3315
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Elizabeth Seagrave, M.S. CCC-SLP is a speech language pathologist in San Rafael, CA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Elizabeth Seagrave, M.S. CCC-SLP NPI is 1114315405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2400 LAS GALLINAS AVE
STE 135A
SAN RAFAEL, CA
ZIP 94903-452
Phone: (415) 326-3315
Fax: (855) 975-3010

The NPI 1114315405 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/8/2015 and was last updated on 10/25/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist20990CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.