Provider Demographics
NPI:1669104519
Name:ABRITE, A SPEECH PATHOLOGY CORP
Entity type:Organization
Organization Name:ABRITE, A SPEECH PATHOLOGY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STARK
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:925-945-1474
Mailing Address - Street 1:2021 YGNACIO VALLEY RD STE C103
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3382
Mailing Address - Country:US
Mailing Address - Phone:818-917-3710
Mailing Address - Fax:
Practice Address - Street 1:2021 YGNACIO VALLEY RD STE C103
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3382
Practice Address - Country:US
Practice Address - Phone:818-917-3710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center