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Organization
SPEECH PATHOLOGY SERVICES
Active
Organization
SPEECH PATHOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA JANEAN YOUNG MA (OWNER)
(951) 303-9422
Entity
Organization
Contact information
Practice address
31935 CALLE ESPINOSA, TEMECULA, CA 92592-3743
(951) 303-9422
(951) 303-9432
Mailing address
31935 CALLE ESPINOSA, TEMECULA, CA 92592-3743
(951) 303-9422
(951) 303-9432
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP4814
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2064835
—
CA
Enumeration date
01/05/2007
Last updated
07/30/2008
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