Organization
BLACK OAK SPEECH THERAPY, INC.
Active
Other names
Black Oak Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX STEWART (PRESIDENT)
(530) 728-0757
Entity
Organization
Contact information
Practice address
1160 SUNCAST LN STE 9, EL DORADO HILLS, CA 95762-9327
(530) 728-0757
(530) 718-3527
Mailing address
1620 PASO DIABLO RD, PLACERVILLE, CA 95667-3023
(530) 728-0757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22500
CA
Other
Enumeration date
10/06/2017
Last updated
04/21/2025
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