Organization Name: | KIRSCH THERAPY SPEECH CLINIC, INC. |
NPI Number: | 1003035569 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNN SCARBOROUGH KIRSCH (PRESIDENT) |
Mailing Address: | 1949 Avenida Del Oro Suite 118 Oceanside |
State: | CA US |
Postal Code: | 920565829 |
Phone Number: | 7609456500 |
Fax Number: | 7609456535 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 01/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT9737 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |