MARCIA GUNAWAN


Address: 1114 Laurel Dr, Lafayette, CA 94549-3117
Phone: 9258378888

MARCIA GUNAWAN (NPI# 1285917211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285917211
Entity Type Individual
Full Name MARCIA GUNAWAN
Credential MA/CCC-SLP
Practice Address 1114 Laurel Dr
Lafayette
CA 94549-3117
Mailing Address Po Box 828
Danville
CA 94526-0828
Practice Telephone 9258378888
Practice Fax Number 9252990828
Mailing Telephone 9258378888
Mailing Fax Number 9252990828
Enumeration Date 2011-09-26
Last Update Date 2011-09-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 7169 CA Speech, Language and Hearing Service Providers

Office Location

Street Address 1114 LAUREL DR
City LAFAYETTE
State CA
Zip Code 94549-3117

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1104427004 Veronica Adelaid Valera-averilla Behavior Technician 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 2020-11-06
1679128870 Zong Ning Zhou Behavior Technician 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 2019-08-05
1912551227 Tamiesha Jackson Behavior Technician Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 2019-07-25
1528525375 Tiara Lajai Aubrey Behavior Technician 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 2019-02-28
1215409990 Marisa Della Marmolejo Case Manager/Care Coordinator Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 2018-12-19
1235608399 Andrew Thompson Behavior Technician 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 2018-11-19
1982172953 Amber Jackson Behavior Technician Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 2018-11-08
1104393396 Alexis Taper Behavior Technician Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 2018-10-26
1023508793 Alyssa Savinovich Behavior Technician 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 2018-05-17
1831689140 Kannambra M Raja Behavior Technician Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 2018-05-11
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467051987 Chit-chat Pediatric Therapy Services Speech-Language Pathologist 304 La Rue France, Lafayette, LA 70508-3134 2020-10-26
1295334704 Layne Erica Dupre Speech-Language Pathologist 304 La Rue France Ste 101, Lafayette, LA 70508-3136 2020-10-26
1386259380 Natalie Dronet Weaver Speech-Language Pathologist 345 Doucet Rd Ste 222, Lafayette, LA 70503-3490 2020-09-15
1801400262 Chelsey Fuselier Scherer Speech-Language Pathologist 225 Ardenwood Dr, Lafayette, LA 70508-7366 2020-09-03
1710598594 Andria Grace Workman Speech-Language Pathologist 3771 Laramie Dr, Lafayette, IN 47905-4022 2020-08-13
1003433004 Laura Frances Landry Speech-Language Pathologist 200 Lakewood Dr, Lafayette, LA 70503-2214 2020-06-25
1154955938 Kelly Ann Leleux Speech-Language Pathologist 105 Anaheim Ln, Lafayette, LA 70508-8058 2020-03-02
1326679143 Elisabeth Robertson Speech-Language Pathologist 227b Bendel Rd., Ste. C, Lafayette, LA 70503 2020-01-30
1891335550 Nicolette R Selensky Speech-Language Pathologist 400 W South Boulder Rd Ste 2500, Lafayette, CO 80026-2724 2020-01-10
1700436243 Jocelyn Jaceen Su Speech-Language Pathologist 1312 Lambert Cir, Lafayette, CO 80026-3117 2019-09-17
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Competitor

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City LAFAYETTE
Zip Code 94549

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Dataset Information

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.

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