Healthcare Provider Details

I. General information

NPI: 1851321517
Provider Name (Legal Business Name): PLACER SPEECH & HEARING SERVICES OF AUBURN, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11775 EDUCATION ST STE 102
AUBURN CA
95602-2453
US

IV. Provider business mailing address

11775 EDUCATION ST STE 102
AUBURN CA
95602-2453
US

V. Phone/Fax

Practice location:
  • Phone: 530-823-7532
  • Fax: 530-823-0316
Mailing address:
  • Phone: 530-823-7532
  • Fax: 530-823-0316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU1501
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP8514
License Number StateCA

VIII. Authorized Official

Name: MS. JANENE L L BAUHOFER
Title or Position: DIRECTOR/AUBIOLOGIST
Credential: M.S., CCC-A
Phone: 530-823-7532