Healthcare Provider Details

I. General information

NPI: 1164335329
Provider Name (Legal Business Name): ELAINE ROSALINDA CURRIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 W ORANGEBURG AVE
MODESTO CA
95350-4044
US

IV. Provider business mailing address

1124 CORNELL AVE
MODESTO CA
95350-5003
US

V. Phone/Fax

Practice location:
  • Phone: 209-574-8122
  • Fax:
Mailing address:
  • Phone: 209-496-3157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number25488
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: