Individual provider · Type 1 NPI
Miellie Bazzano
Speech-Language Pathologist · Santa Rosa, CA
Practice location
3925 Old Redwood Hwy Ofc 4
Santa Rosa, CA 95403-1719
Mailing address
18262 N Shore Dr
Hidden Valley Lake, CA 95467-8624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 41468 (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 1659213544
Miellie Bazzano's National Provider Identifier is 1659213544, issued on Apr 8, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 20, 2026.