| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHRISTINA DEREBENSKIY-CHOW | 1376103929 | 2024-01-07 |
Christina Derebenskiy-chow is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1376103929. Registration indicates Christina Derebenskiy-chow is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)
| Entity Type | Individual |
| Provider Name | Christina Derebenskiy-chow MS, CCC-SLP |
| Practice Office Address | 310 NOVA ALBION WAY SAN RAFAEL, CA US |
| Practice Office Telephone | 4154923200 |
| Mailing Address | 4560 SE INTERNATIONAL WAY STE 100 MILWAUKIE, OR 972224628 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2707 Pine St | San Francisco, CA 941152522 | 4155637600 |
| Code | Practice | License No State |
|---|---|---|
| 235Z00000X PRIMARY | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers |