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NPI Code Detail

MEDICARE: AQUILA WARD M.S., CCC-SLP

MEDICARE: AQUILA WARD 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 PathologistSP37061CA

General Provider Information

NPI Number : 1447969597
Entity Type Code : Individual
Provider Name (Legal Business Name) : AQUILA WARD M.S., CCC-SLP
Provider Business Mailing Address
First Line : 3031 W MARCH LN STE 117S
Second Line :
City : STOCKTON
State : CA
Zip : 95219-6500
Country : US
Telephone Number : 209-952-2588
Fax Number :
Provider Business Practice Location Address
First Line : 3031 W MARCH LN STE 117S
Second Line :
City : STOCKTON
State : CA
Zip : 95219-6500
Country : US
Telephone Number : 209-952-2588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2022
Last Update Date : 02/12/2026

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Directions to “ AQUILA WARD M.S., CCC-SLP” Practice Location

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