# THE SPEECH LAB INCOPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538525274
- **Authorized official:** MR. JESSE COYLE M.S., CCC-SLP (FOUNDER)
- **Authorized official phone:** (714) 580-4888

## Contact information

- **Practice address:** 2900 BRISTOL ST STE E203, COSTA MESA, CA 92626-7908
- **Practice address phone:** (714) 580-4888
- **Mailing address:** 1132 BUCKINGHAM DR, APARTMENT B, COSTA MESA, CA 92626-2129
- **Mailing address phone:** (714) 580-4888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/11/2016
- **Last updated:** 01/11/2016