Provider Demographics
NPI:1972771095
Name:YAMASHITA, ANNE MARIE (AUD)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:MARIE
Last Name:YAMASHITA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 WELCH RD STE 10
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1811
Mailing Address - Country:US
Mailing Address - Phone:650-725-5345
Mailing Address - Fax:650-736-4327
Practice Address - Street 1:1000 WELCH RD STE 10
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1811
Practice Address - Country:US
Practice Address - Phone:650-498-4327
Practice Address - Fax:650-736-4327
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU 1558231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist