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Organization
KING SPEECH PATHOLOGY SERVICES, INC.
Active
Organization
KING SPEECH PATHOLOGY SERVICES, INC.
Active
Other names
Functional Cognitive Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER KING MS, CCC-SLP (OWNER)
(209) 585-6299
Entity
Organization
Contact information
Practice address
4079 GOVERNOR DR # 5072, SAN DIEGO, CA 92122-2522
(209) 585-6299
Mailing address
4079 GOVERNOR DR # 5072, SAN DIEGO, CA 92122-2522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
06/17/2024
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