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Organization
YECKLEY SPEECH
Active
Organization
YECKLEY SPEECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA KING YECKLEY (SPEECH LANGUAGE PATHOLOGIST)
(909) 938-2251
Entity
Organization
Contact information
Practice address
1170 N 2ND ST, COLTON, CA 92324-1760
(909) 938-2251
Mailing address
1170 N 2ND ST, COLTON, CA 92324-1760
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SP7217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP7217
SPEECH LANGUAGE PATHOLIGIST LICENSE
CA
Enumeration date
03/19/2017
Last updated
03/19/2017
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