Provider Demographics
NPI:1326705385
Name:FIRPO, ISABELLA E (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ISABELLA
Middle Name:E
Last Name:FIRPO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 HEMLOCK AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-1506
Mailing Address - Country:US
Mailing Address - Phone:650-296-4791
Mailing Address - Fax:
Practice Address - Street 1:229 POLARIS AVE STE 5
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043-4579
Practice Address - Country:US
Practice Address - Phone:650-784-0082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-24
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14094272235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist