Healthcare Provider Details

I. General information

NPI: 1386553311
Provider Name (Legal Business Name): ALONNA JOANNE COX CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

1111 LAS GALLINAS AVE
SAN RAFAEL CA
94903-1843
US

IV. Provider business mailing address

932 W L ST
BENICIA CA
94510-2531
US

V. Phone/Fax

Practice location:
  • Phone: 415-472-4110
  • Fax:
Mailing address:
  • Phone: 707-373-2594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number34356
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: