| Organization Name: | LIFE SPIRIT SPEECH PATHOLOGY INC |
| NPI Number: | 1679691703 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRI HUTCHISON (SPEECH LANGUAGE PATHOLOGIST) |
| Mailing Address: | 26284 Oso Rd Suite 114 San Juan Capistrano |
| State: | CA US |
| Postal Code: | 926751629 |
| Phone Number: | 9498429557 |
| Fax Number: | |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 07/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 14538 |
| 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 |