NPI Code Details Logo

NPI 1699314484

NPI 1699314484 : CORNERSTONE SPEECH SERVICES, INC. : FAIR OAKS, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1699314484
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CORNERSTONE SPEECH SERVICES, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/27/2019
-----------------------------------------------------
    Last Update Date     |    01/31/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5200 SUNRISE BLVD NO 5 
-----------------------------------------------------
    City                 |    FAIR OAKS
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95628-3846
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    916-827-0138
-----------------------------------------------------
    Fax                  |    916-827-0893
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5200 SUNRISE BLVD NO 5 
-----------------------------------------------------
    City                 |    FAIR OAKS
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95628
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    916-827-0138
-----------------------------------------------------
    Fax                  |    916-827-0893
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO/OWNER
-----------------------------------------------------
    Name                 |     AMANDA  MCNUTT 
-----------------------------------------------------
    Credential           |    MA, CCC-SLP
-----------------------------------------------------
    Telephone            |    916-827-0138
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.