Provider Demographics
NPI:1023474632
Name:KONING SPEECH AND LANGUAGE SERVICES
Entity type:Organization
Organization Name:KONING SPEECH AND LANGUAGE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILLARY
Authorized Official - Middle Name:LINDEN
Authorized Official - Last Name:KONING
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:925-297-5837
Mailing Address - Street 1:2729 KINNEY DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94595-1057
Mailing Address - Country:US
Mailing Address - Phone:925-297-5837
Mailing Address - Fax:844-629-3636
Practice Address - Street 1:2729 KINNEY DR
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94595-1057
Practice Address - Country:US
Practice Address - Phone:925-297-5837
Practice Address - Fax:844-629-3636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-12
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP22298235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty