Provider Demographics
NPI:1952955007
Name:BAKERSFIELD SPEECH THERAPY GROUP
Entity Type:Organization
Organization Name:BAKERSFIELD SPEECH THERAPY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTISTONI
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:661-662-6306
Mailing Address - Street 1:1430 TRUXTUN AVE FL 5
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5243
Mailing Address - Country:US
Mailing Address - Phone:661-662-6306
Mailing Address - Fax:
Practice Address - Street 1:1430 TRUXTUN AVE FL 5
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5243
Practice Address - Country:US
Practice Address - Phone:661-662-6306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-26
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty