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Organization
SAN DIEGO COUNTY SPEECH PATHOLOGY SERVICES, INC.
Active
Organization
SAN DIEGO COUNTY SPEECH PATHOLOGY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY L LEWIS (OFFICE MANAGER)
(619) 574-8181
Entity
Organization
Contact information
Practice address
411 CAMINO DEL RIO S, SUITE 101, SAN DIEGO, CA 92108-3530
(619) 574-8181
(619) 574-0802
Mailing address
411 CAMINO DEL RIO S, SUITE 101, SAN DIEGO, CA 92108-3530
(619) 574-8181
(619) 574-0802
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP17420
CA
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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