Individual provider · Type 1 NPI
Charissa Mamie Jung
Speech-Language Assistant · Newark, CA
NPI number
1164313458
Active
Practice location
39675 Cedar Blvd Ste 260
Newark, CA 94560-5364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 6711 (CA) |
Speech-Language Assistant: Definition to come...
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About NPI 1164313458
Charissa Mamie Jung's National Provider Identifier is 1164313458, issued on Jul 14, 2025. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Newark, CA. The record was last updated on Jul 14, 2025.