MEDICARE: TULIPS SPEECH THERAPY

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
1	235Z00000X	Speech-Language Pathologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SP14368	OTHER	CA	DEPARTMENT OF CONSUMER AFFARIS

General Provider Information

NPI Number	:	1861786188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TULIPS SPEECH THERAPY

Provider Business Mailing Address
First Line	:	1626A UNION ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-4507
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1626A UNION ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-4507
Country	:	US
Telephone Number	:	415-994-4864
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. HESSION JANE HOGAN
Credential	:	MS, CCC,SLP
Telephone Number	:	415-994-4864

Provider Enumeration Date	:	06/03/2011
Last Update Date	:	06/03/2011

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Directions to “TULIPS SPEECH THERAPY ” 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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