Provider Demographics
NPI:1144868563
Name:BADIN, NATALIE ANN (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ANN
Last Name:BADIN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 S SIERRA AVE
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-9998
Mailing Address - Country:US
Mailing Address - Phone:619-396-4903
Mailing Address - Fax:
Practice Address - Street 1:153 S SIERRA AVE
Practice Address - Street 2:PO BOX 1093
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-9998
Practice Address - Country:US
Practice Address - Phone:619-396-4903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-16
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36234235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist