Individual provider · Type 1 NPI

Fidela Bouathong

Speech-Language Pathologist · Sacramento, CA

NPI number 1073155206 Active

Practice location

500 Jessie Ave
Sacramento, CA 95838-2609

Mailing address

623 14th St
Sacramento, CA 95814

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1073155206

Fidela Bouathong's National Provider Identifier is 1073155206, issued on Oct 9, 2019. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Sacramento, CA. The record was last updated on Oct 9, 2019.