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Organization
THE SPEECH LAB INCOPORATED
Active
Organization
THE SPEECH LAB INCOPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE COYLE M.S., CCC-SLP (FOUNDER)
(714) 580-4888
Entity
Organization
Contact information
Practice address
2900 BRISTOL ST STE E203, COSTA MESA, CA 92626-7908
(714) 580-4888
Mailing address
1132 BUCKINGHAM DR, APARTMENT B, COSTA MESA, CA 92626-2129
(714) 580-4888
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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