Individual provider · Type 1 NPI

Moira Ikeda, CCC-SLP

Speech-Language Pathologist · San Mateo, CA

NPI number 1548175359 Active

Practice location

600 36th Ave
San Mateo, CA 94403-4101

Call (650) 312-7700 Map

Mailing address

2881 Baze Rd
San Mateo, CA 94403-3436

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X16337 (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 1548175359

Moira Ikeda, CCC-SLP's National Provider Identifier is 1548175359, issued on Aug 17, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in San Mateo, CA. The record was last updated on Aug 17, 2026.