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Organization
RADIANT SPEECH THERAPY, INC.
Active
Organization
RADIANT SPEECH THERAPY, INC.
Active
Other names
Radiant Kids Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA AGYEMAN M.S., CCC-SLP (CEO)
(858) 753-5082
Entity
Organization
Contact information
Practice address
13223 BLACK MOUNTAIN RD # 1508, SAN DIEGO, CA 92129-2698
(858) 753-5082
Mailing address
13223 BLACK MOUNTAIN RD # 1508, SAN DIEGO, CA 92129-2698
(858) 753-5082
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
23714
CA
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
04/16/2026
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