Provider Demographics
NPI:1376129197
Name:ALMA SPEECH LANGUAGE PATHOLOGY
Entity Type:Organization
Organization Name:ALMA SPEECH LANGUAGE PATHOLOGY
Other - Org Name:ALMA LANGUAGE & LITERACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:CARRIZO
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:707-216-0990
Mailing Address - Street 1:2055 ANDERSON RD
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-1210
Mailing Address - Country:US
Mailing Address - Phone:707-418-0561
Mailing Address - Fax:855-673-1405
Practice Address - Street 1:2055 ANDERSON RD
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-1210
Practice Address - Country:US
Practice Address - Phone:707-418-0561
Practice Address - Fax:855-673-1405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty