Organization Name: | KENEKS THERAPY, SPEECH THERAPY CORPORATION |
NPI Number: | 1497111041 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIANA SADRIEH (PRESIDENT) |
Mailing Address: | 649 E Grand Ave Escondido |
State: | CA US |
Postal Code: | 920254402 |
Phone Number: | 7607471275 |
Fax Number: | |
NPI Enumeration Date: | 01/13/2016 |
NPI Last Update Date: | 01/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 21311 |
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 |