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
INNOVATIVE THERAPY 4 KIDS INC
Active
Organization
INNOVATIVE THERAPY 4 KIDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA JANE WALLS MS CCCSLP (ORAL MOTOR SPECIALIST DIRECTOR)
(760) 434-3912
Entity
Organization
Contact information
Practice address
2333 STATE ST, SUITE 201, CARLSBAD, CA 92008-1691
(760) 434-3912
(760) 434-3871
Mailing address
2333 STATE ST, SUITE 201, CARLSBAD, CA 92008-1691
(760) 434-3912
(760) 434-3871
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
SP9589
CA
103TC0700X
Clinical Psychologist
Primary
SP9589
CA
2251P0200X
Pediatric Physical Therapist
SP9589
CA
225XN1300X
Neurorehabilitation Occupational Therapist
SP9589
CA
235Z00000X
Speech-Language Pathologist
SP9589
CA
Other
Enumeration date
10/06/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up