Provider Demographics
NPI:1003542671
Name:EICHAR, PAIGE ELIZABETH (SPEECH LANGUAGE PATH)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:ELIZABETH
Last Name:EICHAR
Suffix:
Gender:F
Credentials:SPEECH LANGUAGE PATH
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:ELIZABETH EICHAR
Other - Last Name:ISKRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:120 MENLO WAY APT 105
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-5109
Mailing Address - Country:US
Mailing Address - Phone:530-520-7224
Mailing Address - Fax:
Practice Address - Street 1:120 MENLO WAY APT 105
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-5109
Practice Address - Country:US
Practice Address - Phone:530-520-7224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28365235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist