Individual provider · Type 1 NPI

Shannon Keiko Ikeda

Speech-Language Pathologist · San Mateo, CA

NPI number 1659698876 Active

Practice location

1720 S Amphlett Blvd, Ste 250
San Mateo, CA 94402-2702

Fax (650) 228-0356

Mailing address

112 Scenic Dr
Redwood City, CA 94062-3233

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X9954 (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 1659698876

Shannon Keiko Ikeda's National Provider Identifier is 1659698876, issued on Apr 27, 2010. 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 Mar 16, 2016.