Online Spech Therapy P.c.
NPI #1093584914 in Imperial Beach, California
Provider Information
- NPI Number
- 1093584914
- Entity Type
- Organization
- Organization Name
- Online Spech Therapy P.c.
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Dec 20, 2023
- Last Updated
- Dec 20, 2023
Practice Location
- Address
- 1330 CONNECTICUT ST
- City
- Imperial Beach
- State
- California
- ZIP Code
- 91932-3224
- Phone
- (417) 438-8931
Authorized Official
- Name
- MADISON BLAYLOCK, SLP
- Title
- PRESIDENT
- Phone
- (417) 438-8931
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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