=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477442218
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANCINE SERVIN SLPA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/27/2025
-----------------------------------------------------
Last Update Date | 06/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 618 N CYPRESS ST
-----------------------------------------------------
City | WOODLAKE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93286-1111
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-564-1801
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2335 E HOWARD AVE
-----------------------------------------------------
City | VISALIA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93292-5217
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-623-5221
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2355S0801X
-----------------------------------------------------
Taxonomy Name | Speech-Language Assistant
-----------------------------------------------------
License Number | 9198
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------