Basic Information
| Provider Information | |||||||||
| NPI: | 1518128800 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RZEPKA | ||||||||
| FirstName: | BEATA | ||||||||
| MiddleName: | MARIA | ||||||||
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| Credential: | MS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1255 44TH AVE | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941221102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4152423495 | ||||||||
| FaxNumber: | 4152423495 | ||||||||
| Practice Location | |||||||||
| Address1: | 1359 PINE ST | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941094807 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4156738405 | ||||||||
| FaxNumber: | 4157718906 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/19/2008 | ||||||||
| LastUpdateDate: | 06/19/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 16533 | CA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.