Provider Demographics
NPI:1609996404
Name:HAMAGUCHI & ASSOCIATES PEDIATRIC SPEECH-LANGUAGE PATHOLOGISTS, INC.
Entity Type:Organization
Organization Name:HAMAGUCHI & ASSOCIATES PEDIATRIC SPEECH-LANGUAGE PATHOLOGISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:MCALEER
Authorized Official - Last Name:HAMAGUCHI
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:408-366-1098
Mailing Address - Street 1:20380 TOWN CENTER LN
Mailing Address - Street 2:SUITE 290
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-3210
Mailing Address - Country:US
Mailing Address - Phone:408-366-1098
Mailing Address - Fax:408-366-1011
Practice Address - Street 1:20380 TOWN CENTER LN
Practice Address - Street 2:SUITE 290
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-3210
Practice Address - Country:US
Practice Address - Phone:408-366-1098
Practice Address - Fax:408-366-1011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty