Healthcare Provider Details

I. General information

NPI: 1568306652
Provider Name (Legal Business Name): ASTRID HENRIQUEZ-ESQUILIN M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 MADISON AVE
REDWOOD CITY CA
94061-1687
US

IV. Provider business mailing address

723 MADISON AVE
REDWOOD CITY CA
94061-1687
US

V. Phone/Fax

Practice location:
  • Phone: 617-468-8612
  • Fax:
Mailing address:
  • Phone: 617-468-8612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number35275
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: