Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
FULL POTENTIAL SPEECH THERAPY CENTER, INC
Active
Organization
FULL POTENTIAL SPEECH THERAPY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA GISONDA MS CCC SLP (PRESIDENT)
(949) 606-6487
Entity
Organization
Contact information
Practice address
27393 YNEZ RD STE 153, TEMECULA, CA 92591-4605
(951) 331-2154
Mailing address
44881 TROTSDALE DR, TEMECULA, CA 92592-5874
(951) 331-2154
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578049094
NPI TYPE 1
CA
Enumeration date
03/13/2019
Last updated
08/30/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers