JUDY MCCRARY-KOEPPEN (NPI# 1225562168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225562168 |
| Entity Type | Individual |
| Full Name | JUDY MCCRARY-KOEPPEN |
| Practice Address |
1720 S Amphlett Blvd Suite 110 San Mateo CA 94402-2702 |
| Practice Telephone | 6509316300 |
| Mailing Telephone | 6509316300 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7658 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
1720 S AMPHLETT BLVD SUITE 110 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063435840 | Aimee G. Jordan | Psychologist | 1720 S Amphlett Blvd, Suite 220-c, San Mateo, CA 94402-2702 | 2006-07-25 |
| 1669004891 | Glorianna Tiffany Klyce | Behavior Technician | 1720 S Amphlett Blvd, San Mateo, CA 94402-2702 | 2020-02-05 |
| 1750941266 | Amanda Rae Kanaday | Behavior Technician | 1720 S Amphlett Blvd, San Mateo, CA 94402-2702 | 2019-06-17 |
| 1285294181 | Hubert Ryan Juan | Behavior Technician | 1720 S Amphlett Blvd, San Mateo, CA 94402-2702 | 2019-06-13 |
| 1851956155 | Leila Priscilla Rosas | Behavior Technician | 1720 S Amphlett Blvd, San Mateo, CA 94402-2702 | 2019-05-02 |
| 1558812180 | Christine Chang | Acupuncturist | 1720 S Amphlett Blvd, #168, San Mateo, CA 94402-2702 | 2016-10-19 |
| 1992165021 | Opya, Inc. | Occupational Therapist | 1720 S Amphlett Blvd, Suite 250, San Mateo, CA 94402 | 2016-03-02 |
| 1255681078 | Pamela J Brown | Counselor | 1720 S Amphlett Blvd, Suite 123, San Mateo, CA 94402-2702 | 2012-09-19 |
| 1043560790 | Marie Therese Aymard | Counselor | 1720 S Amphlett Blvd, Suite 123, San Mateo, CA 94402-2702 | 2012-09-10 |
| 1588913453 | Daniel James Jaquish | Counselor | 1720 S Amphlett Blvd, Suite 123, San Mateo, CA 94402-2702 | 2012-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | 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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861956732 | Nova Krista Consunto | Speech-Language Pathologist | 400 E Hillsdale Blvd, San Mateo, CA 94403-2864 | 2019-01-24 |
| 1649784745 | Sonia Diaz | Speech-Language Pathologist | 1104 S El Camino Real, San Mateo, CA 94402-2804 | 2017-11-28 |
| 1215395090 | Amy Mccarthy | Speech-Language Pathologist | 3124 Monterey St, San Mateo, CA 94403-3825 | 2016-02-08 |
| 1639567548 | John Santos | Speech-Language Pathologist | 401 S Norfolk St, #205, San Mateo, CA 94401-3074 | 2014-12-30 |
| 1568800126 | Mengting Shieh Nguyen | Speech-Language Pathologist | 2756 Edison St, San Mateo, CA 94403-2458 | 2013-06-05 |
| 1396048450 | Ellen N Golden | Speech-Language Pathologist | 328 N San Mateo Dr Ste A, San Mateo, CA 94401-2514 | 2010-12-13 |
| 1144532854 | Jessica Blois | Speech-Language Pathologist | 596 Fiesta Dr, San Mateo, CA 94403-1433 | 2010-07-10 |
| 1265664270 | Maura Gegenwarth | Speech-Language Pathologist | 2015 Pioneer Ct Ste P2, San Mateo, CA 94403-1736 | 2009-08-10 |
| 1265660617 | Mitra Ahani | Speech-Language Pathologist | 127 N San Mateo Dr, 2nd Floor, San Mateo, CA 94401-2708 | 2009-06-24 |
| 1497918577 | Lynne Kaulback Orange | Speech-Language Pathologist | 760 Polhemus Rd, San Mateo, CA 94402-3938 | 2008-07-08 |
| Find all providers in SAN MATEO | ||||
Please comment or provide details below to improve the information on JUDY MCCRARY-KOEPPEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.