Healthcare Provider Details

I. General information

NPI: 1134038524
Provider Name (Legal Business Name): GABRIELLA VAN LEUVEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24411 AMADOR ST
HAYWARD CA
94544-1301
US

IV. Provider business mailing address

3021 E 17TH ST
OAKLAND CA
94601-2416
US

V. Phone/Fax

Practice location:
  • Phone: 510-784-2600
  • Fax:
Mailing address:
  • Phone: 415-574-6844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number26086
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: