Provider Demographics
NPI:1720829377
Name:THOMPSON, ANGELA SABATINO (MA,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:SABATINO
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 WALNUT MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94506-1967
Mailing Address - Country:US
Mailing Address - Phone:925-413-8859
Mailing Address - Fax:
Practice Address - Street 1:26 WALNUT MEADOW LN
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94506-1967
Practice Address - Country:US
Practice Address - Phone:925-413-8859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP11347235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist