Healthcare Provider Details

I. General information

NPI: 1871417139
Provider Name (Legal Business Name): TERI SAUBER MA, SLP CCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 TAMARACK DR
REDDING CA
96003-1747
US

IV. Provider business mailing address

3500 TAMARACK DR
REDDING CA
96003-1747
US

V. Phone/Fax

Practice location:
  • Phone: 530-225-0420
  • Fax:
Mailing address:
  • Phone: 530-225-0420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberC6810884
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: