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Organization
PACIFIC COAST SPEECH THERAPY, INC
Active
Organization
PACIFIC COAST SPEECH THERAPY, INC
Active
Other names
Therapy Lab of OC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN M BRUNING M.S., SLP-CCC (CEO)
(714) 478-8554
Entity
Organization
Contact information
Practice address
18837 BROOKHURST ST STE 108, FOUNTAIN VALLEY, CA 92708-7301
(714) 861-9595
Mailing address
18837 BROOKHURST ST STE 109, FOUNTAIN VALLEY, CA 92708-7301
(714) 861-9595
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
04/11/2025
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