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Organization
NORTH STAR SPEECH AND LANGUAGE PATHOLOGY CENTER, INC.
Active
Organization
NORTH STAR SPEECH AND LANGUAGE PATHOLOGY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE MCKERNAN-MCCRACKEN SLPD, CCC-SLP (PRESIDENT)
(619) 436-1187
Entity
Organization
Contact information
Practice address
3555 KENYON ST STE 102, SAN DIEGO, CA 92110-5341
(619) 436-1187
(858) 221-4058
Mailing address
4624 W POINT LOMA BLVD UNIT 3, SAN DIEGO, CA 92107-1441
(619) 436-1187
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174281349
NPI
—
01
—
1265254981
NPI
CA
01
—
1285281949
NPI
CA
01
—
1629485883
NPI
CA
01
—
1639984115
NPI
CA
01
—
1669158952
NPI
CA
01
—
1750831715
NPI
—
01
—
1841005204
NPI
CA
01
—
1932921558
NPI
CA
01
—
1952714776
NPI
CA
Enumeration date
08/06/2020
Last updated
02/13/2025
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