Individual provider · Type 1 NPI

Mia Theis

Speech-Language Pathologist · Elk Grove, CA

NPI number 1699402297 Active

Practice location

10305 Promenade Pkwy
Elk Grove, CA 95757-9400

Call (916) 688-2000 Map

Mailing address

3320 Data Dr Ste 400
Rancho Cordova, CA 95670-7341

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X16719 (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 1699402297

Mia Theis's National Provider Identifier is 1699402297, issued on Aug 3, 2022. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Elk Grove, CA. The record was last updated on Jun 19, 2025.