| Organization Name: | EDUCATIONAL THERAPY ASSESSMENT & SERVICES |
| NPI Number: | 1073819777 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOREEN ANN SPEARMAN (DIRECTOR) |
| Mailing Address: | 34590 County Line Rd Suite 7 Yucaipa |
| State: | CA US |
| Postal Code: | 923995303 |
| Phone Number: | 9097954255 |
| Fax Number: | 9097954438 |
| NPI Enumeration Date: | 01/28/2011 |
| NPI Last Update Date: | 01/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TM1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Mental Retardation & Developmental Disabilities |
| Taxonomy Definition: | |