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Organization
PHILLIPS SPEECH THERAPY CORP
Active
Organization
PHILLIPS SPEECH THERAPY CORP
Active
Other names
SLP Riley
Organization subpart
No
Provider details
NPI number
Authorized official
RILEY PHILLIPS MS, CCC-SLP (LEAD SPEECH THERAPIST)
(909) 747-4298
Entity
Organization
Contact information
Practice address
439 N EL CAMINO REAL STE D, SAN CLEMENTE, CA 92672-4700
(909) 747-4298
Mailing address
24551 DEL PRADO UNIT 4154, DANA POINT, CA 92629-6302
(909) 747-4298
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891313839
—
CA
Enumeration date
06/27/2022
Last updated
06/27/2022
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