Pediatric Speech Clinic of Marin Inc
NPI 1568269603ActiveOrganization· Speech-Language Pathologist· San Anselmo, CA
Speech-Language Pathologist in San Anselmo, California, registered in NPPES in February 2025. The authorized official on file is Elizabeth Moyle, CCC-SLP, Director.
Overview
| NPI | 1568269603 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2025 |
| Last updated in NPPES | Feb 26, 2025 |
| Certified by provider | Feb 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other speech-language pathologists in San Anselmo
- 1144750720
- 1760758163
- 1952779704
- 1851046494