Healthcare Provider Details

I. General information

NPI: 1427475003
Provider Name (Legal Business Name): SABRINA BUNNEY M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2014
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 LOCUST ST
MODESTO CA
95351-2699
US

IV. Provider business mailing address

426 LOCUST ST
MODESTO CA
95351-2699
US

V. Phone/Fax

Practice location:
  • Phone: 209-574-1500
  • Fax: 209-574-1570
Mailing address:
  • Phone: 209-574-1500
  • Fax: 209-574-1570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP-22979
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: