Individual provider · Type 1 NPI

Kimberley Ivory

Speech-Language Pathologist · San Leandro, CA

NPI number 1376497479 Active

Practice location

368 Juana Ave
San Leandro, CA 94577-4811

Mailing address

150 4th St Apt 640
Oakland, CA 94607-2161

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X35993 (CA)

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 1376497479

Kimberley Ivory's National Provider Identifier is 1376497479, issued on Feb 25, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in San Leandro, CA. The record was last updated on Jul 16, 2026.