Organization Name: | SOCIAL COMMUNICATION SPECIALISTS SPEECH THERAPY CLINIC APC |
NPI Number: | 1073873451 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANET DUDLEY (PRESIDENT/SPEECH PATHOLOGIST) |
Mailing Address: | 5665 Oberlin Dr Suite 201 San Diego |
State: | CA US |
Postal Code: | 921211737 |
Phone Number: | 8585589552 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2012 |
NPI Last Update Date: | 05/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12244 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |