=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568988160
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEAR SAY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/16/2017
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3336 BRADSHAW RD STE 240
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95827-2600
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-400-3454
-----------------------------------------------------
Fax | 916-662-7923
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3336 BRADSHAW RD STE 240
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95827-2600
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-400-3454
-----------------------------------------------------
Fax | 916-662-7923
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. GINNA BRENTS
-----------------------------------------------------
Credential | MS, CCC, SLP
-----------------------------------------------------
Telephone | 916-792-0781
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0700X
-----------------------------------------------------
Taxonomy Name | Hearing and Speech Clinic/Center
-----------------------------------------------------
License Number | 15322
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------