Provider Demographics
NPI:1700536851
Name:ANCHOR CREEK SPEECH THERAPY, INC.
Entity Type:Organization
Organization Name:ANCHOR CREEK SPEECH THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:BOBBI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMSBROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:707-234-7007
Mailing Address - Street 1:901 EDGEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-1765
Mailing Address - Country:US
Mailing Address - Phone:707-234-7007
Mailing Address - Fax:707-402-6440
Practice Address - Street 1:901 EDGEWOOD CIR
Practice Address - Street 2:
Practice Address - City:SUISUN CITY
Practice Address - State:CA
Practice Address - Zip Code:94585-1765
Practice Address - Country:US
Practice Address - Phone:707-234-7007
Practice Address - Fax:707-402-6440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty