| Organization Name: | SPEECH THERAPY ASSOCIATES A SPEECH LANGUAGE PATHOLOGY CORPORATION |
| NPI Number: | 1356493589 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | COLLEEN ADAIR SELLING (SPEECH LANGUAGE PATHOLOGIST) |
| Mailing Address: | 1209 W Tokay St Ste 8 Lodi |
| State: | CA US |
| Postal Code: | 952403845 |
| Phone Number: | 2093340830 |
| Fax Number: | 2093340860 |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP9927 |
| 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 |