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NPI Code Detail

MEDICARE: VIRIDIANA ENGBERG M.S., CCC-SLP

MEDICARE: VIRIDIANA ENGBERG M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist33490CA

General Provider Information

NPI Number : 1023748894
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRIDIANA ENGBERG M.S., CCC-SLP
Provider Business Mailing Address
First Line : 1900 S NORFOLK ST STE 350
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-1171
Country : US
Telephone Number : 707-478-7855
Fax Number :
Provider Business Practice Location Address
First Line : 1900 S NORFOLK ST STE 350
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-1171
Country : US
Telephone Number : 707-478-7855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2022
Last Update Date : 07/06/2025

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Directions to “ VIRIDIANA ENGBERG M.S., CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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