Healthcare Provider Details

I. General information

NPI: 1841118221
Provider Name (Legal Business Name): DESIRE ATKEN M.S. CCC-SLP, M.S.ED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33300 MISSION BLVD APT 46
UNION CITY CA
94587-1445
US

IV. Provider business mailing address

34383 ALVARADO NILES RD
UNION CITY CA
94587-4455
US

V. Phone/Fax

Practice location:
  • Phone: 669-262-5140
  • Fax:
Mailing address:
  • Phone: 669-262-5140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number39150
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: