Healthcare Provider Details

I. General information

NPI: 1194300798
Provider Name (Legal Business Name): COMMUNICATION ACROSS BARRIERS SPEECH CLINICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2021
Last Update Date: 06/17/2022
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1849 WILLOW PASS RD STE 420
CONCORD CA
94520-2524
US

IV. Provider business mailing address

1849 WILLOW PASS RD # 420
CONCORD CA
94520-2524
US

V. Phone/Fax

Practice location:
  • Phone: 925-672-9440
  • Fax:
Mailing address:
  • Phone: 925-672-9440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANNA KRAJCIN
Title or Position: OWNER
Credential: M.S., CCC-SLP, BCBA
Phone: 925-672-9440