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General NPI Number Information
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NPI Number | 1831006485
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Entity Type | Organization
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Legal Business Name | COLLABORATIVE SPEECH THERAPY, INC.
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 2024 47TH AVE
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City | OAKLAND
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State | CA
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Zip | 94601-4612
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Country | US
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Telephone | 510-545-3642
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Fax |
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Provider Business Mailing Address
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Address Line | 3630 HIGH ST UNIT 19128
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City | OAKLAND
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State | CA
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Zip | 94619-6030
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | KATHERINE SMARTT
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Credential | MS CCC-SLP
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Telephone | 510-545-3642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | NULL
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