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Organization
BLACK OAK SPEECH THERAPY, INC.
Active
Organization
BLACK OAK SPEECH THERAPY, INC.
Active
Other names
Black Oak Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX STEWART (PRESIDENT)
(530) 728-0757
Entity
Organization
Contact information
Practice address
1160 SUNCAST LN STE 9, EL DORADO HILLS, CA 95762-9327
(530) 728-0757
(530) 718-3527
Mailing address
1620 PASO DIABLO RD, PLACERVILLE, CA 95667-3023
(530) 728-0757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22500
CA
Other
Enumeration date
10/06/2017
Last updated
04/21/2025
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