Provider Demographics
NPI:1740498583
Name:WHIPPLE, WILLIAM ALBERTO (MS, CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ALBERTO
Last Name:WHIPPLE
Suffix:
Gender:M
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 OAK TREE PL
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:CA
Mailing Address - Zip Code:94010-6137
Mailing Address - Country:US
Mailing Address - Phone:415-595-7557
Mailing Address - Fax:
Practice Address - Street 1:10 OAK TREE PL
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:CA
Practice Address - Zip Code:94010-6137
Practice Address - Country:US
Practice Address - Phone:415-595-7557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14606235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist