Provider Demographics
NPI:1518128800
Name:RZEPKA, BEATA MARIA (MS)
Entity Type:Individual
Prefix:
First Name:BEATA
Middle Name:MARIA
Last Name:RZEPKA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 44TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-1102
Mailing Address - Country:US
Mailing Address - Phone:415-242-3495
Mailing Address - Fax:415-242-3495
Practice Address - Street 1:1359 PINE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4807
Practice Address - Country:US
Practice Address - Phone:415-673-8405
Practice Address - Fax:415-771-8906
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16533235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist