LAURA ENZENDORFER (NPI# 1851810824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851810824 |
| Entity Type | Individual |
| Full Name | LAURA ENZENDORFER |
| Credential | CCC-SLP |
| Practice Address |
1299 4th St Ste 201 San Rafael CA 94901-3028 |
| Mailing Address |
28 Merced Ave San Anselmo CA 94960-1811 |
| Practice Telephone | 4152952819 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2019-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 26055 | CA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 Via Casitas, Greenbrae, CA 94904 | 4153517956 |
| Street Address |
1299 4TH ST STE 201 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| 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 |
|---|---|---|---|---|
| 1295391134 | Sean Snapp | Speech-Language Pathologist | 4000 Civic Center Dr # 300, San Rafael, CA 94903-4171 | 2019-05-16 |
| 1184157166 | Ginger Nanette Bartrug | Speech-Language Pathologist | 165 N Redwood Dr Ste 200, San Rafael, CA 94903-1971 | 2017-04-06 |
| 1588100283 | Kalynn Alexandra Stewart | Speech-Language Pathologist | 7 Luiz Ct, San Rafael, CA 94903-1099 | 2017-01-18 |
| 1093191355 | Bianca Lana Havel | Speech-Language Pathologist | 232 Santa Margarita, San Rafael, CA 94901-1638 | 2015-08-09 |
| 1336523521 | Alexis Mchugh | Speech-Language Pathologist | 711 D St Ste 204, San Rafael, CA 94901-3704 | 2015-07-17 |
| 1528394947 | Margaret Marie Bourne | Speech-Language Pathologist | 122 Paul Dr, San Rafael, CA 94903-2030 | 2009-10-20 |
| 1649420365 | Meghan C Urban | Speech-Language Pathologist | 22 Billou St, San Rafael, CA 94901-5101 | 2008-09-30 |
| 1205955382 | Shelley Guidi | Speech-Language Pathologist | 30 N San Pedro Rd Ste 265, San Rafael, CA 94903-4153 | 2007-03-28 |
| 1306985197 | Babs Bryant | Speech-Language Pathologist | 30 N San Pedro Rd, Suite 265, San Rafael, CA 94903-4118 | 2007-02-06 |
| 1669022679 | Natalie Cohen | Speech-Language Pathologist | 165 N Redwood Dr Ste 200, San Rafael, CA 94903-1971 | 2019-09-12 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on LAURA ENZENDORFER.
| 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.