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NPI Code Detail

MEDICARE: MISS NATALIE J HIBBS MS, CCC-SLP

MEDICARE: MISS NATALIE J HIBBS MS, 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 PathologistSP29941CA
2235Z00000XSpeech-Language PathologistTSLP6893AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SP29941OTHERCADEPARTMENT OF CONSUMER AFFAIRS

General Provider Information

NPI Number : 1902138845
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS NATALIE J HIBBS MS, CCC-SLP
Provider Business Mailing Address
First Line : 1919 ALAMEDA DE LAS PULGAS APT 77
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-1243
Country : US
Telephone Number : 602-714-0600
Fax Number :
Provider Business Practice Location Address
First Line : 3401 MISSION ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-5419
Country : US
Telephone Number : 415-695-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2010
Last Update Date : 09/28/2022

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Directions to “ MISS NATALIE J HIBBS MS, CCC-SLP” Practice Location

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