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Organization
SUNSET KIDS THERAPY
Active
Organization
SUNSET KIDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HARRISON M.A., CCC-SLP (SPEECH PATHOLOGIST)
(619) 846-3588
Entity
Organization
Contact information
Practice address
3138 ROOSEVELT ST STE K, CARLSBAD, CA 92008-3022
(619) 846-3588
(619) 923-2918
Mailing address
3138 ROOSEVELT ST STE K, CARLSBAD, CA 92008-3022
(619) 846-3588
(619) 923-2918
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922132992
INDIVIDUAL NPI
CA
Enumeration date
03/04/2017
Last updated
03/04/2017
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