Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON KEIKO IKEDA
ActiveSHANNON KEIKO IKEDA is a Speech, Language and Hearing Specialist healthcare provider located in SAN MATEO, California. NPI 1659698876 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · SAN MATEO, CA
Registration Details
- NPI Number
- 1659698876
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 27, 2010 (16.116837238944 yrs)
- Last Updated
- Mar 16, 2016
- License
-
9954 (CA)
Practice Information
- Address
-
1720 S AMPHLETT BLVDSTE 250SAN MATEO, CA, 944022702Browse CA providers · Browse ZIP 94402
- Phone
- 6509316300
- Fax
- 6502280356
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in SAN MATEO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL L. KIMBAROW | PH.D. | 1467455733 |
| JULIE MANYAK | MS, CCC | 1124224605 |
| MS. SANDRA JEAN FENT | — | 1376721308 |
| MITRA AHANI | M.S | 1265660617 |
| MAURA GEGENWARTH | — | 1265664270 |
| JESSICA BLOIS | M.A. | 1144532854 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.