# PACIFIC COAST THERAPY, INC.

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

## Provider details

- **NPI number:** 1699927921
- **Authorized official:** MURIEL NICOLE GODFREY MS-CCC (CEO/SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (949) 463-3067

## Contact information

- **Practice address:** 26761 CALLE MARIA, CAPISTRANO BEACH, CA 92624-1527
- **Practice address phone:** (949) 463-3067
- **Mailing address:** 26761 CALLE MARIA, CAPISTRANO BEACH, CA 92624-1527
- **Mailing address phone:** (949) 463-3067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 13140 | CA | Yes |

## Other

- **Enumeration date:** 10/17/2008
- **Last updated:** 10/17/2008