Healthcare Provider Details

I. General information

NPI: 1942156740
Provider Name (Legal Business Name): HELENA GERSHWIN CCC, SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 FRANKLIN ST
SAN FRANCISCO CA
94102-4414
US

IV. Provider business mailing address

805 LEAVENWORTH ST APT 701
SAN FRANCISCO CA
94109-6125
US

V. Phone/Fax

Practice location:
  • Phone: 415-241-6000
  • Fax: 415-241-6012
Mailing address:
  • Phone: 805-341-1470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number36142
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: