Healthcare Provider Details

I. General information

NPI: 1205782778
Provider Name (Legal Business Name): THE GIGGLE GARDEN INCORPORATED SPEECH-LANGUAGE PATHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2026
Last Update Date: 03/07/2026
Certification Date: 03/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

698 WHITING ST STE G
GRASS VALLEY CA
95945-7568
US

IV. Provider business mailing address

25835 TABLE MEADOW RD
AUBURN CA
95602-8958
US

V. Phone/Fax

Practice location:
  • Phone: 530-210-2447
  • Fax:
Mailing address:
  • Phone: 916-410-5867
  • 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: CRYSTAL EZELL
Title or Position: CEO
Credential: SLP
Phone: 916-410-5867