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Organization
PROFESSIONAL SPEECH & COUNSELING SERVICES INC.
Active
Organization
PROFESSIONAL SPEECH & COUNSELING SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMUND L THILE PH.D.,SLP (DIRECTOR)
(619) 574-8181
Entity
Organization
Contact information
Practice address
411 CAMINO DEL RIO S, #101, SAN DIEGO, CA 92108-3530
(619) 574-8181
(619) 574-0802
Mailing address
411 CAMINO DEL RIO S, #101, SAN DIEGO, CA 92108-3530
(619) 574-8181
(619) 574-0802
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1570
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
556560
PROVIDER
CA
Enumeration date
05/15/2007
Last updated
08/22/2020
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