Healthcare Provider Details

I. General information

NPI: 1689590549
Provider Name (Legal Business Name): MARIAH FRANCES AIYANA-HALL SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIAH FRANCES AIYANA SLP

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 SCRIPPS DR STE 200
SACRAMENTO CA
95825-6381
US

IV. Provider business mailing address

1335 STANFORD AVE
EMERYVILLE CA
94608-2532
US

V. Phone/Fax

Practice location:
  • Phone: 510-647-5101
  • Fax: 916-647-5105
Mailing address:
  • Phone: 510-647-5101
  • Fax: 510-647-5105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number21088
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: