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Organization

SPEECH WAVES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATASHA BALA MSP, CCC-SLP (OWNER)
(805) 547-1755
Entity
Organization

Contact information

Practice address
187 TANK FARM RD STE 210, SAN LUIS OBISPO, CA 93401-7085
(805) 547-1755
(805) 439-2124
Mailing address
187 TANK FARM RD STE 210, SAN LUIS OBISPO, CA 93401-7085
(805) 547-1755
(805) 439-2124

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CB353353
CA
Enumeration date
07/27/2020
Last updated
04/15/2024
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