Healthcare Provider Details

I. General information

NPI: 1740498583
Provider Name (Legal Business Name): WILLIAM ALBERTO WHIPPLE MS, CCC-SLP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1348 MCGEE AVE
BERKELEY CA
94703-1046
US

IV. Provider business mailing address

1348 MCGEE AVE
BERKELEY CA
94703-1046
US

V. Phone/Fax

Practice location:
  • Phone: 650-491-4584
  • Fax:
Mailing address:
  • Phone: 650-491-4584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14606
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: