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NPI Code Detail

MEDICARE: CENTER FOR EARLY INTERVENTION ON DEAFNESS

MEDICARE: CENTER FOR EARLY INTERVENTION ON DEAFNESS
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 PathologistSP11949CA
2237600000XAudiologist-Hearing Aid FitterHA3963CA
3231HA2500XAssistive Technology Supplier AudiologistHA3963CA
4231H00000XAudiologistAU1906CA

General Provider Information

NPI Number : 1942236633
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR EARLY INTERVENTION ON DEAFNESS
Provider Business Mailing Address
First Line : 1035 GRAYSON ST
Second Line :
City : BERKELEY
State : CA
Zip : 94710-2642
Country : US
Telephone Number : 510-848-4800
Fax Number : 510-848-4801
Provider Business Practice Location Address
First Line : 1035 GRAYSON ST
Second Line :
City : BERKELEY
State : CA
Zip : 94710-2642
Country : US
Telephone Number : 510-848-4800
Fax Number : 510-848-4801
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. CINDY DICKESON
Credential :
Telephone Number : 510-848-4800
Provider Enumeration Date : 06/24/2006
Last Update Date : 01/06/2026

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Directions to “CENTER FOR EARLY INTERVENTION ON DEAFNESS ” 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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