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Organization
COASTAL SPEECH THERAPY INC
Active
Organization
COASTAL SPEECH THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL ANGEL MONTIEL M.S CCC-SLP (SPEECH AND LANGUAGE PATHOLOGIST)
(760) 405-1979
Entity
Organization
Contact information
Practice address
6264 FERRIS SQ, SAN DIEGO, CA 92121-3204
(760) 405-1979
Mailing address
6264 FERRIS SQ, SAN DIEGO, CA 92121-3204
(760) 405-1979
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19756
CA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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