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Organization
VIRTUAL SPEECH THERAPY LLC
Active
Organization
VIRTUAL SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY RICHARDSON MD (OWNER)
(909) 709-5646
Entity
Organization
Contact information
Practice address
4475 DEL MAR AVE, SAN DIEGO, CA 92107-3618
(909) 709-5646
Mailing address
4475 DEL MAR AVE, SAN DIEGO, CA 92107-3618
(909) 709-5646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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