Provider Demographics
NPI:1053711838
Name:TEAMWORK SPEECH THERAPY INC
Entity type:Organization
Organization Name:TEAMWORK SPEECH THERAPY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / SLPA
Authorized Official - Prefix:
Authorized Official - First Name:SANDHYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PADMANABHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-478-6217
Mailing Address - Street 1:311 RAY ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-6621
Mailing Address - Country:US
Mailing Address - Phone:925-399-5796
Mailing Address - Fax:925-249-5121
Practice Address - Street 1:1811 SANTA RITA RD STE 112
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-4741
Practice Address - Country:US
Practice Address - Phone:925-470-6948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-28
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 13296252Y00000X
261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No252Y00000XAgenciesEarly Intervention Provider Agency