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Organization

SAN DIEGO COUNTY SPEECH PATHOLOGY SERVICES, INC

Active
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Organization

SAN DIEGO COUNTY SPEECH PATHOLOGY SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JUDY L LEWIS (OFFICE MANAGER)
(619) 574-8181
Entity
Organization

Contact information

Practice address
411 CAMINO DEL RIO S, 101, SAN DIEGO, CA 92108-3530
(619) 574-8181
(619) 574-0802
Mailing address
411 CAMINO DEL RIO S, 101, SAN DIEGO, CA 92108-3530
(619) 574-8181
(619) 574-0802

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SP1579
CA
305R00000X
Preferred Provider Organization
SP1579
CA

Other

Enumeration date
07/31/2008
Last updated
01/25/2019
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