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Organization
KOALA BILINGUAL SPEECH THERAPY, INC.
Active
Organization
KOALA BILINGUAL SPEECH THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNE WAYT MA, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(202) 779-3771
Entity
Organization
Contact information
Practice address
30161 PACIFIC ISLAND DR APT 125, LAGUNA NIGUEL, CA 92677-6307
(202) 779-3771
Mailing address
29911 NIGUEL RD UNIT 6512, LAGUNA NIGUEL, CA 92607-2421
(949) 393-7799
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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