| Organization Name: | SPEECH PATHOLOGY SERVICES |
| NPI Number: | 1992853113 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA JANEAN YOUNG (OWNER) |
| Mailing Address: | 31935 Calle Espinosa Temecula |
| State: | CA US |
| Postal Code: | 925923743 |
| Phone Number: | 9513039422 |
| Fax Number: | 9513039432 |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 07/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP4814 |
| 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 |