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AS CHILDREN BLOSSOM THERAPY CENTER NPI 1700105566


NPI Information

NPI: 1700105566
Provider Name: AS CHILDREN BLOSSOM THERAPY CENTER
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
621 E CAMPBELL AVE
SUITE 11A
CAMPBELL, CA
ZIP 95008
Phone: (408) 866-4700
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AS CHILDREN BLOSSOM THERAPY CENTER is a specialist in Campbell, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AS CHILDREN BLOSSOM THERAPY CENTER NPI is 1700105566. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

621 E CAMPBELL AVE
SUITE 11A
CAMPBELL, CA
ZIP 95008-139
Phone: (408) 866-4700
Fax: (408) 866-1700

The provider's authorized official is Jodi E Huber .
The authorized official title is Owner/partner and has the following contact phone number (408) 866-4700.

The enumeration date for this NPI number is 5/19/2010 and was last updated on 5/20/2010.


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 PathologistNo
2174400000XSpecialistYes

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

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