Provider Demographics
NPI:1285005975
Name:BRIONES, CHRISTINE JOY PERALTA (SLPA LICENSE)
Entity Type:Individual
Prefix:
First Name:CHRISTINE JOY
Middle Name:PERALTA
Last Name:BRIONES
Suffix:
Gender:F
Credentials:SLPA LICENSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 UNION SQ APT 1417
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-3537
Mailing Address - Country:US
Mailing Address - Phone:323-683-6507
Mailing Address - Fax:
Practice Address - Street 1:4637 CHABOT DR STE 106
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-2753
Practice Address - Country:US
Practice Address - Phone:925-954-4546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-07
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32702355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant