Healthcare Provider Details

I. General information

NPI: 1891628392
Provider Name (Legal Business Name): ALEXIA MAZZONE AND ASSOCIATES SPEECH-LANGUAGE PATHOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 HOWARD AVE STE 200
BURLINGAME CA
94010-4229
US

IV. Provider business mailing address

1209 HOWARD AVE STE 200
BURLINGAME CA
94010-4229
US

V. Phone/Fax

Practice location:
  • Phone: 650-344-9961
  • Fax:
Mailing address:
  • Phone: 650-344-9961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PALOMA TEACHING AND ASSESSI JACQUET
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: MS CF SLP
Phone: 650-344-9961